De Wilde R, Holzgreve W, Zubke W
Geburtsh.-Gynäkol., Abteilung, Krankenhaus Bethesda Wuppertal-Elberfeld Akademisches Lehrkrankenhaus der Westf., Wilhelms-Universität Münster.
Geburtshilfe Frauenheilkd. 1987 Sep;47(9):654-5. doi: 10.1055/s-2008-1035895.
A case of a ruptured intracranial angioma in the 27th week of pregnancy is presented. The diagnosis was ensured clinico-neurologically by lumbar puncture, cranial computerized tomography and carotid angiography. After neurosurgical intervention and appropriate therapy vaginal delivery occurred despite coma of the patient, in the 36th week of pregnancy. Two days post partum the patient awakened from her coma and was eventually released from hospital after an uneventful puerperium with only slight neurological symptom pattern. Following anticonvulsive therapy because of a grand mal attack, and complete regression of the neurological pattern of signs and symptoms, therapy was discontinued.
本文报告一例妊娠27周时颅内血管瘤破裂的病例。通过腰椎穿刺、头颅计算机断层扫描和颈动脉血管造影,从临床神经学角度确诊。尽管患者处于昏迷状态,但在神经外科干预和适当治疗后,于妊娠36周经阴道分娩。产后两天患者从昏迷中苏醒,产褥期顺利,仅遗留轻微神经症状,最终出院。因发生癫痫大发作接受抗惊厥治疗后,神经体征和症状完全消退,治疗停止。