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Neurocritical Care

Published in:

01-06-2009 | Original Article

Occurrence of Perimesencephalic Subarachnoid Hemorrhage During Pregnancy

Authors: Karen G. Hirsch, Michael T. Froehler, Judy Huang, Wendy C. Ziai

Published in: Neurocritical Care | Issue 3/2009

Abstract

Background

Perimesencephalic subarachnoid hemorrhage (P-SAH) is a benign subset of subarachnoid hemorrhage with a favorable prognosis and low rate of re-bleeding. Risk factors may include hypertension and tobacco use, but it has not previously been reported during pregnancy.

Methods

We report two cases of P-SAH in pregnant women, a 40-year-old female, 8-weeks pregnant and a 37-year-old female at 35 weeks gestational age.

Results

CT scan confirmed P-SAH in both cases. CT angiography in one case and cerebral angiogram in the other did not reveal aneurysm or other potential bleeding source. The patients underwent transcranial Doppler ultrasound monitoring without evidence of vasospasm.

Conclusion

P-SAH hemorrhage may occur during early or late pregnancy. We do not propose an increased risk of P-SAH during pregnancy. The clinical course appears favorable and CT angiography alone may be considered the preferred diagnostic test to assess for aneurysm in first trimester pregnancy.

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Title: Occurrence of Perimesencephalic Subarachnoid Hemorrhage During Pregnancy
Authors: Karen G. Hirsch
Michael T. Froehler
Judy Huang
Wendy C. Ziai
Publication date: 01-06-2009
Publisher: Humana Press Inc
Published in: Neurocritical Care / Issue 3/2009
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-009-9189-9

At a glance: The STEP trials

Springer Medicine

Occurrence of Perimesencephalic Subarachnoid Hemorrhage During Pregnancy

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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