Intracranial aneurysms during childhood and puberty

Aneurysmal Subarachnoid Hemorrhage in Pregnancy—Case Series, Review, and Pooled Data Analysis

“…This decision requires a multidisciplinary discussion that should involve neurosurgeons, intensivists, obstetricians, neonatologists and anaesthetists, and should take into consideration the condition of both the mother and of the foetus. Although there are no expert guidelines concerning the obstetric management of pregnant patients affected by aSAH, emergency CS should be considered when the clinical state of the mother is life-threatening (coma, brainstem damage), if the interval between the treatment of the aneurysm and labour is likely to be less than 8 days, and if the diagnosis of the aneurysm is in a late stage of pregnancy [42]. In particular, for gestational ages beyond 34 weeks (reviewed in [53]) an emergency CS should be considered.…”