Turkish Neurosurgery 2006 , Vol 16 , Num 2
Pregnant Woman With Subarachnoid Hemorrhage and Multiple Intracranial Aneurysms: A Case Report
Ayhan KOÇAK1, Özkan ATEŞ1, Süleyman Rüştü ÇAYLI1, Kaya SARAÇ2
1Department of Neurosurgery, Faculty of Medicine, İnönü University Malatya, Turkey
2Department of Radiology, Faculty of Medicine, İnönü University Malatya, Turkey
Aneurysmal subarachnoid haemorrhage (SAH) during pregnancy is rare but serious obstetric complication and may be confused with eclampsia. SAH occurs more often in primiparae and in the third trimester of pregnancy. The hemodynamic and endocrine changes play an important role in the growth and rupture of aneurysms. There are no differences in the clinical course of SAH among pregnant and non-pregnant patients. A 19-yr-old woman who was 34- weeks pregnant presented with an SAH, secondary to a ruptured left posterior communicating artery (L-PComA) aneurysm. The angiogram revealed multiple cerebral aneurysms. Following initial recovery, she subsequently underwent simultaneous elective caesarean section and clipping of the aneurysms. The management and pathogenesis of a ruptured aneurysm during pregnancy is discussed. Keywords : Aneurysm, Pregnancy, Subarachnoid haemorrhage
Corresponding author : Ayhan Koçak, akocak@inonu.edu.tr