Woman´s subarachnoid hemmorage in pregnancy

Česká verzia

Authors: B. Vaňková; J. Březina; S. Pánková
Authors place of work: Porodnicko-gynekologické oddělení, Uherskohradišťská nemocnice a. s., primářka MUDr. S. Pánková
Published in the journal: Ceska Gynekol 2018; 83(1): 40-44

Summary

Objective:
Diagnostics and solution to a case of subarachnoid hemorrhagie in a pregnant woman. Description of a subarachnoid hemmorage case in week 13 of pregnancy and pointing out to the insidiousness anamnestic examination.

Design:
Case report.

Setting:
Department of Obstetrics and Gynecology, Uherskohradišťská nemocnice a.s.

Case report:
The patient history describes a case of a 31-year-old hypertensive woman in week 38 of pregnancy, who experienced a complication during her pregnancy. Itinially the problem seemed to be gastroenteritis, which her son suffered from as well. Subsequently, the patient was diagnosed with subarachnoid hemorrhage, and a caesarean section and a neurosurgical operation was performed.

Conclusion:
Subarachnoid hemorrhage is weighty complication during pregnancy. It imminently threatens the woman´s life, as well as the life of the fetus. An anamnestic and physical examination as its result may lead to a quick diagnosis and a solution to this acute disease and subsequently may rescue the life of both the mother and the fetus.

Keywords:
pregnancy, subarachnoid hemorrhage

Zdroje

1. Ambler, Z. Neurologie pro studenty lékařské fakulty. Praha: Karolinum, 2004, 399 s.

2. Bateman, BT., Olbrecht, VA., Berman, MF., et al. Peripartum subarachnoid hemorrhage: Nationwide data and institutional experience. Anasthesiology, J AmerSociety of Anesthesiol, Inc., 2012, 116, 2, p. 324-333. Dostupné na: http://anesthesiology.pubs.asahq.org/article.aspx?articleid=1933674

3. Bednařík, J., Ambler, Z., Růžička, E., et al. Klinická neurologie – speciální část. Praha: Triton, 2010, 707 s.

4. Doležil, D., Peisker, T., Doležilová, V., et al. Thunderclap headache. Česká a slovenská neurologie a neurochirurgie, 2010; 73/106(3), s.231-236. Dostupné na: http://www.csnn.eu/ceska-slovenska-neurologie-clanek/thunderclap-headache-33775

5. Hájek, Z., et al. Rizikové a patologické těhotenství. Praha: Grada Publishing, 2004, 443 s.

6. Heřman, M. Neinvazivní diagnostika subarachnoidálního krvácení. Čes Radiol, 2007, 61(3), s. 255-263. Dostupné na: http://www.cesradiol.cz/detail.php?stat=119

7. Hostinská, E., Huml, K., Pilka, R. Akutní pankreatitida v graviditě komplikovaná rupturou aneurysmatu arteria lienalis. Čes Gynek, 2016, 81, 3, s. 164–240.

8. Kalina, M., et al. Cévní mozková příhoda v medicínské praxi. Praha: Triton, 2008, 231 s.

9. Rattue, G. Subarachnoid hemorrhage risk factors in pregnant women. Medical news today, Publisher 27 January 2012. Dostupné na: http://www.medicalnewstoday.com/articles/240879.php