eISSN: 2300-6722
ISSN: 1899-1874
Medical Studies/Studia Medyczne
Bieżący numer Archiwum Artykuły zaakceptowane O czasopiśmie Suplementy Rada naukowa Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac
 
2/2019
vol. 35
 
Poleć ten artykuł:
Udostępnij:
więcej
 
 
streszczenie artykułu:
List do Redakcji

Endowaskularne leczenie pękniętego tętniaka tętnicy środkowej mózgu u kobiety w ciąży

Bartłomiej J. Nowak
1, 2
,
Edyta Barańska
1, 3
,
Maciej Włosek
2
,
Jacek Ł. Antecki
3
,
Igor Szydłowski
4
,
Wojciech Rokita
5
,
Edyta Brelak
3
,
Marcin Sadowski
1

1.
Doctoral Studies, Faculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland
2.
Department of Diagnostic Imaging, Voivodeship Specialist Hospital, Kielce, Poland
3.
Świętokrzyskie Neurology Centre, Voivodeship Specialist Hospital, Kielce, Poland
4.
Department of Neurosurgery and Spine Surgery, Voivodeship Specialist Hospital, Kielce, Poland
5.
Department of Prevention in Gynaecology and Obstetrics, Institute of Medicine Science, Faculty of Medicine and Health Science, Jan Kochanowski University, Kielce, Poland
Medical Studies/Studia Medyczne 2019; 35 (2): 180–183
Data publikacji online: 2019/06/28
Pełna treść artykułu
Pobierz cytowanie
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Aneurysms of the cerebral vessels are disorders in the structure of the walls of cerebral arteries. They usually occur in large arteries in the base of the brain. Pressure on nerves, which is the result of the presence of aneurysms, may lead to various types of neurological disorders [1]. Subarachnoid haemorrhage (SAH) is a complication of a ruptured aneurysm. The symptoms accompanying SAH may include: strong headache (frequently described by patients as ‘thunderclap headache’), disturbances of consciousness, nausea, vomiting, and loss of consciousness [2, 3].
The development of modern neurosurgical and neuroradiological endovascular treatment methods has allowed less invasive management of aneurysms, thereby decreasing the risk of complications, compared to the classic neurosurgical procedures [4].
Embolisation consists of percutaneous, intravascular introduction of self-detached coils into the aneurysmal sac, sometimes with the use of stents or balloons for remodelling via the system of catheters and microcatheters, through femoral artery access. This surgical technique leads to the exclusion of the aneurysm from the circulation and restores normal cerebral blood flow. One of the complications of embolisation is a thromboembolic episode occurring as a result of irritation of the vascular endothelium and triggering of the clotting cascade [5].
The objective of the study was the presentation of the case of a patient in pregnancy with ruptured aneurysm of the middle cerebral artery, with secondary coagulation of the middle cerebral artery and an effective mechanical thrombectomy.
A 33-year-old patient, in week 34 of pregnancy, was referred from a district hospital to the Provincial Hospital in Kielce due to subarachnoid haemorrhage from a ruptured aneurysm of the right middle cerebral artery, with accompanying intracerebral haematoma in the right temporal lobe, diagnosed in magnetic resonance angiogram (MRI). At admission, in neurological examination, 15 points according to the GCS scale were diagnosed, positive meningeal signs expressed by a considerable stiffness of the neck; mild left-sided hemi-paresis. After neurological, neurosurgical, and gynaecological consultations, the patient was qualified for endovascular treatment in the Clinic for Neurosurgery and Spine Surgery, following previous termination of pregnancy under general anesthesia with delivery of a live male newborn. Directly after delivery, the patient was transported...


Pełna treść artykułu...
facebook linkedin twitter
© 2022 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.