[The management of subarachnoid hemorrhage in pregnancy].
Subarachnoid haemorrhage (SAH) from an intracranial aneurysm or arteriovenous malformation is a grave complication of pregnancy. Authors critically analyzed 12 cases of verified SAH during pregnancy from an 11 identified and 1 unidentified cerebral vascular malformation. Aneurysms were responsible for SAH in 7, and arteriovenous malformations in 4 patients. Subarachnoid haemorrhage occurred during I trimester in 2, II trimester in 3, III trimester in 6 patients and after cesarean delivery in 1 case. We conclude that the decision to operate after SAH during pregnancy should be based upon neurosurgical principles, whereas the cesarean delivery should be done in every pregnant patient with SAH.
Zukiel
R
R
Katedry i Kliniki Neurochirurgii Akademii Medycznej im. Karola Marcinkowskiego, Poznaniu.
Jankowski
R
R
Tokarz
F
F
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications; D002538:Intracranial Arteriovenous Malformations / Q000150:complications; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy*; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000628:therapy*
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