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Kheireddin A.S.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Lubnin A.Yu.

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health of the Moscow Region, Moscow, Russia, N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia, Department of Obstetrics and Gynecology, M.F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia

Kaftanov A.N.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Akhvlediani K.N.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

Belousova O.B.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Dmitriev A.V.

Bashkirskiĭ gosudarstvennyĭ meditsinskiĭ universitet, Ufa

Kuchina O.B.

Burdenko Neurosurgical Institute, Moscow, Russia

Surgical treatment of a pregnant female with AVM hemorrhage

Authors:

Kheireddin A.S., Lubnin A.Yu., Kaftanov A.N., Akhvlediani K.N., Belousova O.B., Dmitriev A.V., Kuchina O.B.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2017;81(1): 88‑94

DOI: 10.17116/neiro201780788-94

Views: 1230

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Table of contents

SURGICAL TREATMENT OF A PREGNANT FEMALE WITH AVM HEMORRHAGE
SURGICAL TREATMENT OF A PREGNANT FEMALE WITH AVM HEMORRHAGE

To cite this article:

Kheireddin AS, Lubnin AYu, Kaftanov AN, Akhvlediani KN, Belousova OB, Dmitriev AV, Kuchina OB. Surgical treatment of a pregnant female with AVM hemorrhage. Burdenko's Journal of Neurosurgery. 2017;81(1):88‑94. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201780788-94

Подписка 2025-2 (Burdenko's Journal of Neurosurgery)
 
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Hemorrhages from arteriovenous malformations (AVMs) in pregnant females are rare, but they are known to lead to high maternal and infant mortality. There are no standards for AVM treatment in pregnant females. Many authors believe that AVM resection before delivery improves the prognosis for life and health of the mother and fetus. In this paper, we present a case of successful surgical treatment of a female patient with AVM hemorrhage at 20 weeks and address management issues of these patients.

Keywords:

intracerebral hemorrhage
arteriovenous malformation
pregnancy
AVM surgery

Authors:

Kheireddin A.S.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Lubnin A.Yu.

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health of the Moscow Region, Moscow, Russia, N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia, Department of Obstetrics and Gynecology, M.F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia

Kaftanov A.N.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Akhvlediani K.N.

Moskovskiĭ oblastnoĭ NII akusherstva i ginekologii

Belousova O.B.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

Dmitriev A.V.

Bashkirskiĭ gosudarstvennyĭ meditsinskiĭ universitet, Ufa

Kuchina O.B.

Burdenko Neurosurgical Institute, Moscow, Russia

List of references:

  1. Rispoli R, Donati L, Bartolini N, Bolli L, Sulis AM, Zofrea G, Passalacqua GP, Carletti S. Rupture of an Intracranial Arteriovenous Malformation (AVM) in Pregnancy: Case Report. J Stem Cell Res Ther. 2015;5:256. doi:10.4172/2157-7633.1000256
  2. Davie CA, O'Brien P. Stroke and pregnancy. J Neurol Neurosurg Psychiatry. 2008 Mar;79(3):240-245. doi:10.1136/jnnp.2007.116939
  3. Mas JL, Lamy C. Stroke in pregnancy and the puerperium. J Neurol. 1998 Jun-Jul;245(6-7):305-313.
  4. Agarwal N, Guerra JC, Gala NB, Agarwal P, Zouzias A, Gandhi CD, Prestigiacomo CJ. Current treatment options for cerebral arteriovenous malformations in pregnancy: a review of the literature. World Neurosurg. 2014 Jan;81(1):83-90. doi:10.1016/j.wneu.2013.01.031
  5. Forster DM, Kunkler IH, Hartland P. Risk of cerebral bleeding from arteriovenous malformations in pregnancy: the Sheffield experience. Stereotact Funct Neurosurg. 1993;61:Suppl 1:20-22.
  6. Arustamyan RR, Lyashko ES, Shifman EM, Konysheva OV, Vorykhaev AV. Razryv arteriovenoznoi mal'formatsii vo vremya beremennosti i v poslerodovom periode. Rossiiskii meditsinskii zhurnal. 2014;1. (In Russ.).
  7. Logutova LS, Akhvlediani KN, Travkina AA, Petrukhin VA, Kovalenko TS, Lubnin AYu. Arteriovenoznaya mal'formatsiya golovnogo mozga i beremennost'. Rossiiskii vestnik akushera-ginekologa. 2015;15:6:56-64. (In Russ.).
  8. Sadasivan B, Malik GM, Lee C, Ausman JI. Vascular malformations and pregnancy. Surg Neurol. 1990 May;33(5):305-313.
  9. Trivedi RA, Kirkpatrick PJ. Arteriovenous malformations of the cerebral circulation that rupture in pregnancy. J Obstet Gynaecol. 2003 Sep;23(5):484-489. doi:10.1080/0144361031000153684
  10. Ishii A, Miyamoto S. Endovascular treatment in pregnancy. Neurol Med Chir (Tokyo). 2013;53(8):541-548.
  11. Conger A, Kulwin C, Lawton MT, Cohen-Gadol AA. Endovascular and microsurgical treatment of cerebral arteriovenous malformations: current recommendations. Surg Neurol Int. 2015 Mar 19;6:39. doi:10.4103/2152-7806.153707
  12. Wlody DJ, Weems L. Anesthesia for neurosurgery in the pregnant patients. Cottrell and Young’s Neuroanesthesia. Eds. Cottrell J, Young W. 5th ed. Mosby, Elsevier. 2010;416-424.
  13. Gist RS, Beilin Y. The effects of anesthetic drugs on the developing fetus: considerations in non obstetric surgery. Anesthesia and the fetus. Eds. Ginosar Y, et al. Wiley-Blackwell. 2013;156-164.
  14. Premo AM, Kilpatrick SJ. Fetal heart rate monitoring. Anesthesia and the fetus. Eds. Ginosar Y, et al. Wiley-Blackwell 2013;104-113.
  15. Balki M, Manninen P. Craniotomy for suprasellar meningioma in a 28 week pregnant woman without fetal heart rate monitoring. Can J Anaesth. 2004;51:573-576. doi:10.1007/BF03018400
  16. Macarthur A. Craniotomy for supresellar meningioma during pregnancy: role of fetal monitoring. Can J Anaesth. 2004;51:535-538. doi:10.1007/BF03018393

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