A Patient with Subarachnoid Hemorrhage Related to a Ruptured Aneurysm in Week 8 of Pregnancy: Usefulness of Coil Embolization of Intracranial Aneurysms as a Treatment Option before Delivery

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  • Ueda Takeshi
    Department of Neurosurgery, Kure Medical Center and Chugoku Cancer Center, Kure, Hiroshima, Hiroshima, Japan
  • Kiura Yoshihiro
    Department of Neurosurgery and Endovascular Neurosurgery, Hiroshima Prefectural Hospital, Hiroshima, Hiroshima, Japan
  • Isobe Naoyuki
    Department of Neurosurgery, Onomichi General Hospital, Onomichi, Hiroshima, Japan
  • Nishimoto Takeshi
    Department of Neurosurgery, Onoura Hospital, Hatsukaichi, Hiroshima, Japan

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<p>Object: We report a case of endovascular surgery for subarachnoid hemorrhage (SAH) that developed in early pregnancy.</p><p>Case Presentations: An 8-week pregnant 35-year-old female was admitted to our hospital with severe headache and loss of consciousness. Cephalic computed tomography (CT) revealed SAH (Hunt and Hess grade II). Digital subtraction angiography (DSA) demonstrated a 2.7 mm aneurysm at the right internal carotid artery-posterior communicating artery (IC-PC) bifurcation. We prioritized maternal treatment. Cerebral aneurysm coil embolization was performed on the 1st day under general anesthesia. During the operation, we tried to avoid irradiating the fetus by limiting the irradiation range and time. She was discharged on the 36th day of illness and gave birth to a 2532-g baby at 36 weeks of gestation.</p><p>Conclusion: If SAH develops in early pregnancy, it is necessary to prioritize maternal treatment. Endovascular surgery should be considered as a treatment option.</p>

収録刊行物

  • 脳神経血管内治療

    脳神経血管内治療 14 (1), 30-35, 2020

    特定非営利活動法人 日本脳神経血管内治療学会

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