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[Subarachnoid hemorrhage and pregnancy]
A Rossi1, R Cella, M A Balestrero
1Istituto di Anestesiologia e Rianimazione, Università degli Studi, Genova.
Minerva Anestesiologica
|October 17, 1998
Summary
Intracranial hemorrhage from ruptured aneurysms or arteriovenous malformations is rare but serious. Management involves surgical intervention, with anesthesia presenting challenges like induced hypotension.
Area of Science:
- Neurology
- Neurosurgery
- Obstetrics
Context:
- Intracranial hemorrhage (ICH) from ruptured aneurysms or arteriovenous malformations (AVMs) during pregnancy is a rare but critical obstetric emergency.
- It poses significant risks for both maternal and fetal well-being, including mortality and neurological morbidity.
Purpose:
- This review focuses on the diagnosis and management of intracranial hemorrhage in pregnant patients.
- It specifically addresses the clinical dilemmas encountered during the anesthetic management, particularly the role of induced hypotension.
Summary:
- The review covers the diagnosis and management strategies for intracranial hemorrhage originating from ruptured aneurysms or AVMs in pregnancy.
- Key considerations include surgical intervention risks and anesthetic challenges, such as the use and implications of induced hypotension.
Impact:
- Provides critical insights for clinicians managing pregnant patients with intracranial hemorrhage.
- Aims to improve outcomes by highlighting diagnostic and anesthetic management strategies, including the controversial use of induced hypotension.