Ruptured aneurysm in pregnancy

Area of Science:

• Neurosurgery
• Maternal-Fetal Medicine
• Neurology

Background:

• Ruptured intracranial aneurysms during pregnancy are rare but life-threatening emergencies.
• Management requires a multidisciplinary approach balancing maternal and fetal well-being.

Observation:

• A review of twenty pregnant patients with ruptured intracranial aneurysms managed over ten years.
• Case studies highlight diagnostic delays and complications like cerebral vasospasm.

Findings:

• Failure to diagnose subarachnoid hemorrhage led to delayed treatment in two cases.
• Cerebral vasospasm was a significant complication in one patient.
• Optimal management involves careful selection of diagnostic tests, surgical timing, fetal monitoring, and delivery method.

Implications:

• Highlights the critical need for early diagnosis and specialized care for pregnant women with intracranial aneurysms.
• Emphasizes the importance of a coordinated neurosurgical and obstetric strategy.
• Informs clinical practice regarding diagnostic and therapeutic decision-making in this high-risk obstetric population.