Postpartum Rupture of an Intracranial Aneurysm

Abstract

Given the significant morbidity and mortality associated with cerebral aneurysms in pregnancy, they should be considered in all cases of acute neurological deterioration. Also, given the increased risk of aneurysmal rupture in the gravid patient, expedited management of newly discovered cerebral aneurysms should be contemplated.

Ruptured intracranial aneurysm in pregnancy: a case report

“…In contrast to other published literature where there is more emphasis on anaesthetic management,7 neurological management8 or management of postpartum rupture,9 our case report highlights the pitfalls in obstetric diagnosis and management which all obstetricians should be aware of.…”

Peripartum Subarachnoid Hemorrhage

“…In the general population, SAH is associated with different predisposing factors than ICH, and is most often associated with an intracerebral aneurysm. The etiologies of SAH in pregnancy are diverse and include ruptured saccular [1][2][3][4] and mycotic 5 aneurysms, ruptured arteriovenous malformations, 3,4 intracranial venous thrombosis, 6 pregnancy-induced hypertension leading to pial vessel rupture, 7 in-tracranial vertebral artery dissection, 8 Moyamoya disease, 9 posterior reversible encephalopathy syndrome, 10 and postpartum angiopathy, which is a form of the reversible cerebral vasoconstriction syndrome. [11][12][13] Population-based data from Sweden suggest that the incidence of SAH is increased in the period around delivery.…”