妊娠期颅内动脉瘤破裂。4例报告。

Ruptured intracranial aneurysms during pregnancy. A report of four cases.

作者信息

Giannotta S L, Daniels J, Golde S H, Zelman V, Bayat A

出版信息

J Reprod Med. 1986 Feb;31(2):139-47.

Abstract

Four patients presented with ruptured intracranial aneurysms during pregnancy. Problems encountered during the management of these cases included delayed diagnosis, obstructive hydrocephalus, cerebral ischemia due to vasospasm and recurrent subarachnoid hemorrhage. Recent advances in the management of ruptured intracranial aneurysms, including early computerized tomographic scanning, intravascular volume expansion and induced hypertension for the management of cerebral vasospasm, and the timely obliteration of the aneurysm are applicable to the subarachnoid hemorrhage patient even if her condition is complicated by pregnancy.

摘要

4例患者在孕期出现颅内动脉瘤破裂。这些病例在治疗过程中遇到的问题包括诊断延迟、梗阻性脑积水、血管痉挛导致的脑缺血以及复发性蛛网膜下腔出血。颅内动脉瘤破裂治疗方面的最新进展，包括早期计算机断层扫描、血管内容量扩充以及采用诱导性高血压治疗脑血管痉挛，还有及时闭塞动脉瘤，即便蛛网膜下腔出血患者的病情因妊娠而复杂化，这些进展也同样适用。