A High-grade Aneurysmal Subarachnoid Hemorrhage in the Peripartum Period.

J Emerg Trauma Shock

Department of Anesthesia and Perioperative Care, Hamad Medical Corporation, Doha, Qatar.

Published: March 2024

AI Article Synopsis

  • * The exact relationship between pregnancy and the incidence of cerebral aneurysm rupture remains uncertain, though it appears to be higher in later stages of pregnancy.
  • * This case study describes a patient who experienced a rupture of a left supraclinoid aneurysm resulting in severe aSAH immediately after undergoing spinal anesthesia for a Low Segment Caesarean Section (LSCS).

Article Abstract

Aneurysmal subarachnoid hemorrhage (aSAH) is a rare but devastating complication with increased morbidity and mortality. It is still unclear whether the incidence is increased during pregnancy and in the peripartum period. However, the incidence of cerebral aneurysmal rupture is higher during the third trimester than in the first trimester. The risk of aneurysmal rupture and subarachnoid hemorrhage (SAH) during general anesthesia or spinal anesthesia is unclear. We report a case of left supraclinoid aneurysm rupture after spinal anesthesia for Low Segment Caesarean Section (LSCS) in the immediate postpartum period causing high-grade aSAH.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11279505PMC
http://dx.doi.org/10.4103/jets.jets_84_23DOI Listing

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