Cho C S, Kim Y J, Cho K T, Lee S K, Park B J, Cho M K
Department of Neurosurgery, Dankook University College of Medicine, Cheonan; Korea -
Interv Neuroradiol. 2005 Sep 30;11(3):255-9. doi: 10.1177/159101990501100310. Epub 2005 Oct 26.
There are a number of reports on cerebral aneurysmal ruptures during pregnancy. Although the cerebral aneurysmal rupture is quite rare during pregnancy, it leads to a high maternal mortality; which gives rise to a clinical significance. We have encountered a number of multiple cerebral aneurysms during pregnancy, and the ruptured cases were successfully treated with the coiling procedures. The coiling is found to be a good treatment method for ruptured aneurysms during pregnancy. The cerebral angiogram is the gold standard diagnostic method for detecting cerebral aneurysms. However, 1.8-20% of the cases are reported to be false negative in initial angiography, and only up to 20% can be diagnosed even with the additional angiographies.A special attention for a hidden aneurysm should also be required while managing the patients.
有许多关于妊娠期脑动脉瘤破裂的报告。尽管妊娠期脑动脉瘤破裂相当罕见,但它会导致很高的孕产妇死亡率,这具有临床意义。我们在妊娠期遇到了多例多发性脑动脉瘤,破裂病例通过血管内栓塞术成功治疗。血管内栓塞术被发现是治疗妊娠期破裂动脉瘤的一种好方法。脑血管造影是检测脑动脉瘤的金标准诊断方法。然而,据报道,初始血管造影中有1.8% - 20%的病例为假阴性,即使进行额外的血管造影,也只有至多20%的病例能够被诊断出来。在治疗患者时,还应特别关注隐匿性动脉瘤。