Open AccessSubarachnoid hemorrhage due to cerebral aneurysmal rupture during pregnancy
Author(s) -
Roman Horatiu,
Descargues Gérome,
Lopes Manuel,
Emery Evelyne,
Clavier Erick,
Diguet Alain,
Freger Pierre,
Marpeau Loïc,
Proust François
Publication year - 2004
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/j.0001-6349.2004.00281.x
Subject(s) - medicine , subarachnoid hemorrhage , pregnancy , eclampsia , aneurysm , obstetrics , surgery , genetics , biology
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.