Temporary Hidden Aneurysms during Pregnancy

Abstract

<jats:p> 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. </jats:p><jats:p> 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. </jats:p><jats:p> 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. </jats:p>

Rupture of cerebral aneurysm during pregnancy: a case report

“…Eclampsia is the most common disease in the differential diagnosis of SAH because of the similarity of the presenting symptoms such as acute-onset high blood pressure, seizures, and decreased consciousness. Lumbar puncture, CT, and MRI can be considered as diagnostic tools (1) . The diagnosis is made with neuroimaging (CT, MRI, and cerebral angiography).…”

“…The incidence of intracranial bleeding from cerebral aneurysm rupture in pregnancy is rare (1,2) . On the other hand, rupture of an intracranial aneurysm still remains the most common cause of subarachnoid hemorrhage (SAH) during pregnancy and puerperium (3) .…”

“…The mortality rate of maternal death due to the aneurysmal rupture is as high as 5 to 12%. In particular, the rupture of an intracranial aneurysm during pregnancy can lead to a fatal outcome in the mother and the fetus (1) .…”

Awake endovascular coiling of a dissected intracranial aneurysm in a third-trimester twin pregnancy

“…The incidence of subarachnoid hemorrhages (SAHs) from ruptured intracranial aneurysms are very rare during pregnancy. [ 1 – 3 ] Nevertheless, maternal death rate from aneurysmal rupture is about 5% to 12%. [ 1 , 2 ] The possibilities of aneurysm formation, progression, as well as rupture may be influenced by normal hemodynamic changes during pregnancy as a result of increase vascular stress.…”

“…[ 1 – 3 ] Nevertheless, maternal death rate from aneurysmal rupture is about 5% to 12%. [ 1 , 2 ] The possibilities of aneurysm formation, progression, as well as rupture may be influenced by normal hemodynamic changes during pregnancy as a result of increase vascular stress. [ 3 – 6 ] Also, hormones like estrogen, progesterone, as well as vascular endothelial growth factor have been implicated as causes of intracranial aneurysm during pregnancy.…”