Subarachnoid hemorrhage due to cerebral aneurysmal rupture during pregnancy.
Cerebral aneurysmal complications rarely occur during pregnancy. Telling the difference between eclampsia and cerebral hemorrhage due to aneurysmal rupture can prove to be difficult. Aneurysmal management should be performed in an emergency but fetal prognosis should be considered. We report a series of eight pregnant women presenting aneurysmal complications and we have assessed their management and outcome. Both maternal and perinatal mortality rates were correlated with the maternal clinical score. We stress the role of combined care by both neurosurgeons and obstetricians. An emergency cesarean section followed by aneurysmal treatment appears to be a widely accepted strategy in pregnant women with cerebral aneurysmal complications.
Departments of Obstetrics and Gynecology, University Hospital Rouen, Rouen, France. horace.roman@libertysurf.fr
Horatiu
H
Roman
Gérome
G
Descargues
Manuel
M
Lopes
Evelyne
E
Emery
Erick
E
Clavier
Alain
A
Diguet
Pierre
P
Freger
Loïc
L
Marpeau
François
F
Proust
D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D002532:Intracranial Aneurysm / Q000150:complications*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000628:therapy*; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome