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R.R. Arustamian

Kafedra reproduktivnoĭ meditsiny i khirurgii FPDO Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta im. A.I. Evdokimova;
Gorodskaia klinicheskaia bol'nitsa #15 im. O.M. Filatova;
Kafedra anesteziologii i reanimatologii FPK MR Rossiĭskogo universiteta druzhby narodov, Moskva

L.V. Adamyan

Department of Reproductive Medicine and Surgery, Faculty of Postgraduate Professional Education, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow, Russia

E.M. Shifman

M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

A.S. Saribekyan

Filatov City clinical Hospital №15, Moscow, Russia

Pregnancy, delivery and puerperium period in women with intracranial arterial aneurisms

Authors:

R.R. Arustamian, L.V. Adamyan, E.M. Shifman, A.S. Saribekyan

More about the authors

Journal: Russian Journal of Human Reproduction. 2015;21(2): 98‑102

DOI: 10.17116/repro201521208-102

Views: 6580

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To cite this article:

Arustamian RR, Adamyan LV, Shifman EM, Saribekyan AS. Pregnancy, delivery and puerperium period in women with intracranial arterial aneurisms. Russian Journal of Human Reproduction. 2015;21(2):98‑102. (In Russ.)
https://doi.org/10.17116/repro201521208-102

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Objective — to optimize the pregnancy, delivery and puerperium at patients with intracranial arterial aneurisms rupture. Methods. The study concluded 12 women with diagnosis of arterial aneurism rupture or with suspicion on a rupture of aneurism treated in Clinical hospital № 15. Results. 3 patients had no  radiological confirmation of cerebrovascular pathology. In two cases the pregnancy was complicated by preeclampsia without cerebrovascular pathology. Conclusion. Intracranial hemorrhage during pregnancy, delivery and puerperium is a serious complication leading to increased maternal morbidity and mortality. The rupture of  IC arterial aneurisms can be the cause of ICH.

Keywords:

arterial aneurism
preeclampsia
intracranial hemorrhage

Authors:

R.R. Arustamian

Kafedra reproduktivnoĭ meditsiny i khirurgii FPDO Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta im. A.I. Evdokimova;
Gorodskaia klinicheskaia bol'nitsa #15 im. O.M. Filatova;
Kafedra anesteziologii i reanimatologii FPK MR Rossiĭskogo universiteta druzhby narodov, Moskva

L.V. Adamyan

Department of Reproductive Medicine and Surgery, Faculty of Postgraduate Professional Education, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow, Russia

E.M. Shifman

M.F. Vladimirsky Moscow Regional Research Clinical Institute, Ministry of Health of the Moscow Region, Moscow, Russia

A.S. Saribekyan

Filatov City clinical Hospital №15, Moscow, Russia

List of references:

  1. Meyers PV, Van V. Halbach, Malek AM, Phatouros CC, Dowd CF, Lawton MT, Lempert TE, Randall T, Higashida A. Endovascular Treatment of Cerebral Artery Aneurysms during Pregnancy. JNR Am J Neuroradiol. 2000 August;21:1306-1311.
  2. Harada K, Fukuyama K, Shirouzu T, Ichinose M, Fujimura H, Kakumoto K, Yamanaga Y. Prevalence of unruptured intracranial aneurysms in healthy asymptomatic Japanese adults: differences in gender and age. Acta Neurochir (Wien). 2013 Nov;155(11):2037-2043. doi: 10.1007/s00701-013-1841-7.
  3. Hiroharu K, Takekazu M, Reiko N, Jun Y, Hatsue I, Koji I. Subarachnoid Hemorrhage From Intracranial Aneurysms During Pregnancy and the Puerperium. Neurol Med Chir (Tokyo). 2013;53:549-554.
  4. Kim YW, Neal D, Hoh BL. Cerebral aneurysms in pregnancy and delivery: pregnancy and delivery do not increase the risk of aneurysm rupture. Neurosurgery. 2013Feb;72(2):143-149; discussion 150. doi: 10.1227/NEU.0b013e3182796af9.

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