CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2020; 09(01): 52-54
DOI: 10.1055/s-0039-3403456
Short Communication

About an Intracranial Aneurysm Rupture During Delivery

1   Department of Neurosurgery, Reference Hospital Maradi, Niamey, Niamey, Republic of Niger
2   Department of Neurosurgery, Neurosurgery Unit of Bab El Oued Teaching Hospital, Alger, Algeria
,
Loucif Houari
2   Department of Neurosurgery, Neurosurgery Unit of Bab El Oued Teaching Hospital, Alger, Algeria
,
Abdelhalim Morsli
2   Department of Neurosurgery, Neurosurgery Unit of Bab El Oued Teaching Hospital, Alger, Algeria
› Author Affiliations

Abstract

The rupture of an intracranial aneurysm is rare during pregnancy and exceptional during delivery. When it occurs, the prognosis of two lives is engaged. We are reporting a case of a 41-year-old patient presenting with a subarachnoid hemorrhage during labor. After extraction of healthy baby through cesarian section, radiological investigations permitted to diagnose a ruptured right carotid-ophthalmic aneurysm. The patient benefited from a selective aneurysm’s exclusion by occlusion using Guglielmi detachable coils through an endovascular approach using catheterization. The immediate outcome was favorable.



Publication History

Article published online:
07 February 2020

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  • References

  • 1 Kizilkilic O, Albayram S, Adaletli I. et al. Endovascular treatment of ruptured intracranial aneurysms during pregnancy: report of three cases. Arch Gynecol Obstet 2003; 268 (04) 325-328
  • 2 Kataoka H, Miyoshi T, Neki R, Yoshimatsu J, Ishibashi-Ueda H, Iihara K. Subarachnoid hemorrhage from intracranial aneurysms during pregnancy and the puerperium. Neurol Med Chir (Tokyo) 2013; 53 (08) 549-554
  • 3 Barbarite E, Hussain S, Dellarole A, Elhammady MS, Peterson E. The management of intracranial aneurysms during pregnancy: a systematic review. Turk Neurosurg 2016; 26 (04) 465-474
  • 4 Robba C, Bacigaluppi S, Bragazzi NL. et al. Aneurysmal subarachnoid hemorrhage in pregnancy-case series, review, and pooled data analysis. World Neurosurg 2016; 88: 383-398
  • 5 Tarnaris A, Haliasos N, Watkins LD. Endovascular treatment of ruptured intracranial aneurysms during pregnancy: is this the best way forward? Case report and review of the literature. Clin Neurol Neurosurg 2012; 114 (06) 703-706
  • 6 Böttiger BW, Diezel G. Acute intracranial subarachnoid hemorrhage following repeated spinal anesthesia [article in German]. Anaesthesist 1992; 41 (03) 152-157
  • 7 Kriplani A, Relan S, Misra NK, Mehta VS, Takkar D. Ruptured intracranial aneurysm complicating pregnancy. Int J Gynaecol Obstet 1995; 48 (02) 201-206
  • 8 Brunken M, Kehler U, Fiehler J, Leppien A, Eckert B. Coiling vs. clipping: hospital stay and procedure time in intracranial aneurysm treatment [article in German]. RoFo Fortschr Geb Rontgenstr Nuklearmed 2009; 181 (10) 989-995
  • 9 Roman H, Descargues G, Lopes M. et al. Subarachnoid hemorrhage due to cerebral aneurysmal rupture during pregnancy. Acta Obstet Gynecol Scand 2004; 83 (04) 330-334
  • 10 de Swiet M. Maternal mortality: confidential enquiries into maternal deaths in the United Kingdom. Am J Obstet Gynecol 2000; 182 (04) 760-766