Aneurysmal subarachnoid hemorrhage during pregnancy: a comprehensive and systematic review of the literature

Department of Neurological Surgery, Tulane University, New Orleans, LA, USA. Department of Neurological Surgery, Ochsner Medical Center, New Orleans, LA, USA. Department of Neurological Surgery, Tulane University, New Orleans, LA, USA. mathkour.mansour@gmail.com. Department of Neurological Surgery, Ochsner Medical Center, New Orleans, LA, USA. mathkour.mansour@gmail.com. Neurosurgery Division, Surgery Department, Jazan University, Jazan, Kingdom of Saudi Arabia. mathkour.mansour@gmail.com. Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Department of Neurocritical Care, Tulane Medical Center, New Orleans, LA, USA. Department of Neurological Surgery, Tulane University, New Orleans, LA, USA. adumont2@tulane.edu. Department of Neurological Surgery, Ochsner Medical Center, New Orleans, LA, USA. adumont2@tulane.edu.

Neurosurgical review. 2021
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Abstract
Aneurysmal subarachnoid hemorrhage (aSAH) is an emergent condition requiring rapid intervention and prolonged monitoring. There are few recommendations regarding the management of aSAH in pregnancy. We identified all available literature and compiled management decisions as well as reported outcomes through a systematic literature review without meta-analysis to provide recommendations for management of aSAH during pregnancy. We included a total of 23 articles containing 54 cases of pregnancy-related aSAH in our review. From these reports and other literature, we evaluated information on aSAH pathophysiology, diagnosis, and management with respect to pregnancy. Early transfer to an appropriate facility with neurocritical care, a high-risk obstetric service, and a neurosurgery team available is crucial for the management of aSAH in pregnancy. Intensive monitoring and a multidisciplinary approach remain fundamental to ensure maternal and fetal health.
Study details
Study Design : Systematic Review
Language : eng
Credits : Bibliographic data from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine