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Ruptured intracranial aneurysm complicating pregnancy
A Kriplani1, S Relan, N K Misra
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi.
Summary
Ruptured intracranial aneurysms during pregnancy are rare but manageable. Simultaneous cesarean section and aneurysm clipping can lead to successful outcomes for both mother and baby.
Area of Science:
- Neurology
- Obstetrics
- Neurosurgery
Background:
- Intracranial aneurysms are a rare but serious complication during pregnancy.
- Rupture typically occurs near term, posing significant risks to maternal and fetal health.
Observation:
- Presents three cases of ruptured intracranial aneurysms in pregnant patients.
- All ruptures occurred near the end of gestation.
- Two patients underwent simultaneous cesarean section and aneurysm clipping.
Findings:
- Successful maternal and perinatal outcomes were achieved in all three presented cases.
- Demonstrates the feasibility and safety of combined surgical and obstetric interventions.
- Highlights effective diagnostic and management strategies.
Implications:
- Suggests that a multidisciplinary approach can lead to favorable outcomes in pregnant patients with ruptured intracranial aneurysms.
- Informs clinical practice regarding the timely diagnosis and management of this obstetric emergency.
- Supports the consideration of combined cesarean section and aneurysm treatment.