| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 3040830 | Clinical Neurology and Neurosurgery | 2012 | 4 Pages |
Objective and importanceSubarachnoid haemorrhage in pregnancy has traditionally been treated by surgical clipping however lately cases of successful coiling have been reported. Nevertheless, the long-term outcome of coiling is not well known in pregnant women. Mortality due to rebleeding of an incompletely treated aneurysm remains high. Only 15 cases of successful endovascular coiling during pregnancy have been reported so far.Clinical presentationWe report the case of a pregnant woman who presented with aneurysmal subarachnoid hemorrhage (WFNS Grade III) due to rupture of a right posterior communicating artery aneurysm.InterventionThe patient underwent endovascular coiling successfully followed by an elective caesarian section and delivery of a healthy baby. However, during the course of a 2-year follow up the patient had suffered two relapses of the coiled aneurysm which required additional treatment. These events have affected her choice of extending her family.ConclusionThe small risk of recurrence and the potential impact on future pregnancies should be explicitly communicated to patients in cases of endovascular coiling.
► Subarachnoid haemorrhage in pregnancy has traditionally been treated by surgical clipping however lately cases of successful coiling have been reported. ► Nevertheless, the long-term outcome of coiling is not well known in pregnant women. ► Mortality due to rebleeding of an incompletely treated aneurysm remains high. ► Only 15 cases of successful endovascular coiling during pregnancy have been reported so far. ► The small risk of recurrence and the potential impact on future pregnancies should be explicitly communicated to patients in cases of endovascular coiling.
