Abstract | INTRODUCTION: PATIENTS AND METHODS: There were 437 pregnancy and 717 puerperal complicated patients between january 1996 to december 2005, 41 maternal deaths of all causes and 14 indirect maternal deaths. There were operated on 454 patients with intracranial aneurysms and arteriovenous malformations in this period. Pregnant patients and fetus were evaluated to select mode of delivery. A specialized medical team managed precociously these patients. Vascular lesions were clipped by microsurgical methods. Anesthetic management considered pregnancy and fetal complexities. We did not use endovascular methods. Postoperative management was performed on intensive care unit. RESULTS: CONCLUSION: A precocious clinical diagnosis, neuroimaging studies and interdisciplinary management that involve intensive therapy, obstetric attention and neurovascular surgical treatment determined an increment in the diagnosis of these lesions that require opportune microsurgical or endovascular treatment to prevent maternal death and fetal damage.
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Authors | S D Vega-Basulto, E Lafontaine-Terry, F G Gutie Rrez-Muñoz, J Roura-Carrasco, G Pardo-Camacho |
Journal | Neurocirugia (Asturias, Spain)
(Neurocirugia (Astur))
Vol. 19
Issue 1
Pg. 25-34
(Feb 2008)
ISSN: 1130-1473 [Print] Spain |
Vernacular Title | Hemorragia intracraneal por aneurismas y malformaciones arteriovenosas duranteel embarazo y el puerperio. |
PMID | 18335152
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adolescent
- Adult
- Arteriovenous Malformations
(complications, diagnosis, pathology, surgery)
- Female
- Humans
- Infant, Newborn
- Intracranial Aneurysm
(complications, diagnosis, pathology, surgery)
- Postpartum Period
- Pregnancy
- Pregnancy Complications
- Pregnancy Outcome
- Retrospective Studies
- Subarachnoid Hemorrhage
(diagnosis, etiology, mortality, pathology, surgery)
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