1. Hemorrhage of cerebral cavernous malformation in third trimester of pregnancy.
- Author
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Merlino, Lucia, Del Prete, Federica, Titi, Luca, and Piccioni, Maria Grazia
- Subjects
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CESAREAN section , *NEUROSURGERY , *THIRD trimester of pregnancy , *ELECTROENCEPHALOGRAPHY , *COMPUTED tomography , *DECISION making in clinical medicine , *FETAL ultrasonic imaging , *ROCURONIUM bromide , *CRANIOTOMY , *TREATMENT effectiveness , *CEREBRAL arteries , *CAVERNOUS hemangioma , *PROPOFOL , *INTRAVENOUS therapy , *SEIZURES (Medicine) , *CEREBRAL hemorrhage , *ANTICONVULSANTS , *FETAL heart rate monitoring , *SALT , *PREGNANCY - Abstract
Cerebral cavernous malformation is a rare but important cause of cerebral hemorrhage in pregnancy and puerperium. In pregnancy, cavernomas can more easily bleed as a result of increased female hormones and growth factors such as vascular endothelial growth factor. We present the case of a pregnant woman who had been diagnosed with a cerebral cavernoma about ten years previously, after repeated headache episodes; at the 28th week of pregnancy the woman was hospitalized for epileptic seizures and active bleeding from the anterior cerebral artery. We describe the management of the case, the decision for a preterm delivery and for a resolutive neurosurgical procedure. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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