ANAESTHETIC MANAGEMENT OF RUPTURED INTRA-CRANIAL ANEURYSM DURING EARLY PREGNANCY - A CASE REPORT

LT COL NITESH AGRAWAL; Brig G C SATAPATHY; COL SUBIR DEY

Volume : X, Issue : I, January - 2020

ANAESTHETIC MANAGEMENT OF RUPTURED INTRA-CRANIAL ANEURYSM DURING EARLY PREGNANCY - A CASE REPORT

Lt Col Nitesh Agrawal, Brig G C Satapathy, Col Subir Dey

Abstract :

Subarachnoid hemorrhage (SAH) in pregnancy is devastating for both mother and the baby. SAH due to aneurysm, arterio–venous malformation or any other vascular malformation is a grave complication in pregnancy. Headache is very challenging symptom in pregnancy with raised intracranial pressure. We present a case of 31 years old lady in early second trimester admitted in intensive care unit with subarachnoid hemorrhage due to aneurysm. She was exposed to anesthetic and neurosurgical challenges for clipping of the aneurysm, in a potentially fatal condition. The multidisciplinary team effort and timely medical intervention by clipping of intracranial aneurysm can be safe and effective for both the mother and the foetus.