Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 9 2011 09 15 564 574 EN Zahid Hussain Khan Department of Anesthesiology and Intensive Care, Imam Khomeini Medical Center, Tehran University of Medical Sciences, Tehran, Iran. 2015 09 28 A complicated and controversial subject in obstetrics i.e., toxemia of pregnancy is looked upon, both from an anesthesiological and obstetrical point of view. As pre-eclampsia and eclampsia involve immediate treatment and obstetric considerations, the choice between epidural and general anesthesia becomes necessary when cesarean section is contemplated. Apart from the pathophysiology of the vessel spasm as it is induced by preeclampsia, the therapeutic managements of fluid administration, the drugs of choice to treat hypertension as well as the technical aspects of anesthesia are reviewed. https://acta.tums.ac.ir/index.php/acta/article/view/3797 https://acta.tums.ac.ir/index.php/acta/article/download/3797/3772