Induced delivery prior to surgery for ruptured cerebral aneurysm

Labor was induced by amniotomy at 34 weeks' gestation because of preeclampsia in a woman with a recent ruptured cerebral aneurysm prior to corrective neurosurgery. Neither labor nor vaginal delivery caused neurologic injury to the mother. Subsequent neurosurgery was successful and both mother and infant continued to do well several months later. These outcomes support management advised in the literature in circumstances not previously reported.