Abstract：
BACKGROUND:Reports of cerebral aneurysm and aneurysm rupture during pregnancy are rare in the literature. Aneurysms might rupture and cause intracranial hemorrhage during or after pregnancy. Aneurysmal subarachnoid hemorrhage during pregnancy presents a challenge regarding treatment and management. No institution has reported a large patient population or experience in managing this condition during pregnancy in the literature. Owing to the limited number of cases, there are no available treatment guidelines, and treatment is usually based on a case-by-case approach. CASE DESCRIPTION:A 31-year-old woman presented in the 27th week of pregnancy with sudden-onset headache, which was diagnosed as subarachnoid hemorrhage. The diagnosis of subarachnoid hemorrhage with an aneurysm located on the anterior communicating artery was made with magnetic resonance imaging and digital subtraction angiography. The aneurysm was treated by surgical clipping. The pregnancy continued successfully until the 35th gestational week, when the infant was successfully delivered by planned cesarean section owing to preeclampsia and fetal growth retardation. Postoperative follow-up was uneventful. CONCLUSIONS:We present our experience in the management of aneurysmal subarachnoid hemorrhage during pregnancy and maternal and fetal outcomes of this rare disease. More cases and multicenter studies are needed to develop standardized management of this disease.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Karabuk E,Kadirogullari P,Kutlu Dilek TU,Ozluk E,Ozturk Gdoi
10.1016/j.wneu.2020.04.238subject
Has Abstractpub_date
2020-08-01 00:00:00pages
229-232eissn
1878-8750issn
1878-8769pii
S1878-8750(20)30949-9journal_volume
140pub_type
abstract：BACKGROUND:Preoperative endovascular embolization of hypervascular metastatic spine tumors can reduce intraoperative blood loss. One frequent objection to embolizing these tumors is the concern for associated arteries feeding the spinal cord, such as the artery of Adamkiewicz. This study aimed to elucidate a relationsh...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.02.075
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:The randomized controlled Chronic Subdural Hematoma (cSDH)-Drain-Trial showed comparable recurrence rates after placing a subperiosteal drain (SPD) or a subdural drain (SDD) for surgically drained cSDH, although SDD was associated with higher rates of infection and iatrogenic brain injury. This subanalysis ex...
journal_title：World neurosurgery
pub_type： 杂志文章,随机对照试验
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更新日期：2019-12-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.09.116
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journal_title：World neurosurgery
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pub_type： 杂志文章
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更新日期：2013-05-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.06.027
更新日期：2018-09-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2018-08-01 00:00:00
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2016.04.027
更新日期：2016-11-01 00:00:00
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更新日期：2020-11-12 00:00:00
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更新日期：2013-11-01 00:00:00
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更新日期：2019-07-01 00:00:00
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pub_type： 杂志文章,meta分析
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更新日期：2019-07-01 00:00:00
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更新日期：2016-09-01 00:00:00
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更新日期：2019-02-01 00:00:00
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更新日期：2020-02-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2019-12-01 00:00:00
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更新日期：2019-03-01 00:00:00
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更新日期：2014-07-01 00:00:00
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更新日期：2018-12-01 00:00:00
