Endovascular treatment of a ruptured internal carotid artery aneurysm in early pregnancy: a case report

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  • Miyahara Makiko
    Department of Neurosurgery, National Center for Global Health and Medicine
  • Inoue Masato
    Department of Neurosurgery, National Center for Global Health and Medicine
  • Tamai Yuta
    Department of Neurosurgery, National Center for Global Health and Medicine
  • Ohno Hiroyasu
    Department of Neurosurgery, National Center for Global Health and Medicine
  • Okamoto Koichiro
    Department of Neurosurgery, National Center for Global Health and Medicine
  • Hara Tetsuo
    Department of Neurosurgery, National Center for Global Health and Medicine

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  • 妊娠9 週でくも膜下出血を発症し，血管内治療を施行した1 例

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A 34-year-old primigravida at 9 weeks of gestation presented with sudden headache and consciousness disturbance. Computed tomography (CT), CT angiography (CTA), and angiography showed subarachnoid hemorrhage and a large ruptured aneurysm of the left internal carotid artery. She was immediately admitted and underwent bilateral ventricular drainage, and her consciousness improved slightly. Endovascular embolization of the aneurysm was then performed, resulting in almost complete occlusion of the aneurysmal sac. The patient recovered fully, and a healthy baby was delivered at the 38th week of gestation via cesarean section. Though this case had a good outcome, management of ruptured cerebral aneurysms during early pregnancy requires more discussion.

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