Lanzino G, Jensen M E, Cappelletto B, Kassell N F
Department of Neurological Surgery, University of Virginia Health Sciences Center, Charlottesville.
Acta Neurochir (Wien). 1994;126(2-4):102-6. doi: 10.1007/BF01476417.
Intracranial haemorrhage due to rupture of an arteriovenous malformation (AVM) during pregnancy is a rare but serious condition that warrants prompt recognition. Once the diagnosis is made, the management is primarily based on neurosurgical rather than obstetric considerations. Due to its rarity, no definitive guidelines exist, and the best time to perform elective surgery (i.e., at presentation or at completion of the pregnancy) is ill-defined. This report describes three patients recently treated at our institution who had AVMs that ruptured during pregnancy. These cases well summarize the difficulties encountered in treating such patients. The diagnostic as well as the therapeutic implications of this condition are discussed.
妊娠期因动静脉畸形（AVM）破裂导致的颅内出血是一种罕见但严重的疾病，需要及时识别。一旦确诊，治疗主要基于神经外科而非产科考虑。由于其罕见性，尚无明确的指南，择期手术的最佳时机（即发病时或妊娠结束时）也不明确。本报告描述了我院最近治疗的3例妊娠期AVM破裂患者。这些病例很好地总结了治疗此类患者所遇到的困难。本文还讨论了该疾病的诊断及治疗意义。
