[Intracranial hemorrhage associated with pregnancy--4 case reports and a review of the literature].
Four cases of intracranial hemorrhage associated with pregnancy are reported. They were a ruptured anterior communicating aneurysm, a ruptured AVM of cerebellar hemisphere, a lt-thalamic and putaminal hemorrhage and brain stem hemorrhage. As the mode of hemorrhage, one case was a subarachnoid hemorrhage, one case was a subarachnoid hemorrhage combined with a cerebellar hemorrhage and other two cases were intraparenchymal hemorrhage. The mean age of these 4 cases was 29.5 years of age from 25 to 35. One case was occurred the intracranial hemorrhage during the first trimester but other 3 cases was occurred during the third trimester. It was, thus, considered the intracranial hemorrhage associated with pregnancy was more frequently occurred during the third trimester. Primigravida and multigravida were equally occurred on each two cases. It was not related to parity. Consciousness levels were drowsiness; one case, semicoma; two cases and deep coma; one case. A case of ruptured anterior communicating aneurysm underwent neck clipping of aneurysm through the rt-fronto-temporal craniotomy on the first day of the attack. This case fully recovered, but the other three cases of severely impaired consciousness level were dead. Maternal prognosis was related to consciousness level. We mentioned the preferred neurosurgical and obstetrical management to the intracranial hemorrhage associated with pregnancy.
Harada
K
K
Fujioka
Y
Y
Okamoto
H
H
Shinohara
S
S
Oki
S
S
Uozumi
T
T
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D002543:Cerebral Hemorrhage / Q000209:etiology* / Q000601:surgery; D005260:Female; D005865:Gestational Age; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications; D002538:Intracranial Arteriovenous Malformations / Q000150:complications; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed