Zukiel R, Jankowski R, Tokarz F
Katedry i Kliniki Neurochirurgii AM, Poznaniu.
Neurol Neurochir Pol. 1992;Suppl 1:50-6.
Subarachnoid haemorrhage from an intracranial aneurysm or arteriovenous malformation is a grave complication of pregnancy. The authors analyzed 11 cases of verified subarachnoid haemorrhage during pregnancy from 10 identified and 1 unidentified cerebral vascular malformation. The aneurysms were responsible for subarachnoid haemorrhage in 6, and arteriovenous malformation in 4 patients. We conclude that the decision to operate after subarachnoid haemorrhage during pregnancy should be based upon neurosurgical principles, whereas cesarean delivery should be done in every pregnant patient with subarachnoid haemorrhage.
颅内动脉瘤或动静脉畸形引起的蛛网膜下腔出血是妊娠的严重并发症。作者分析了11例妊娠期间经证实的蛛网膜下腔出血病例,其中10例明确和1例不明的脑血管畸形。动脉瘤导致6例蛛网膜下腔出血,动静脉畸形导致4例。我们得出结论,妊娠期间蛛网膜下腔出血后的手术决策应基于神经外科原则,而每例蛛网膜下腔出血的孕妇均应行剖宫产。