The embolization of saccular aneurysm of communicating segment of internal carotid artery combined with local balloon angioplasty in acute period of subarachnoid hemorrhage in female patient on 16-17^th gestation week

Introduction: nontraumatic subarachnoid hemorrhage (SH) because of cerebral aneurysm rupture during pregnancy is a very rare pathology that is why there are insufficient literature data, which may be the possible base for treatment guidelines development. The modern technologies in neurosurgery allow conducting the surgical treatment with minimal theoretical risk for pregnancy course. Clinical case: female patient, 26 years old , 16-17th gestation week , was admitted into our hospital in 14 days after repeated SAH because of rupture aneurysm of right posterior communicating artery. The emergent balloon-assisted coil embolization was selected as the most justified method in this case. The surgical intervention was performed completely without complications. The regress of neurological signs was observed in postoperative period against the therapy of cerebral angiospasm. The patient was discharged after acute period of disease for observation and delivery in time. Conclusion: The aneurysmal SAH is not the indication for interruption of pregnancy and vice versa the pregnancy is not the contraindication for surgical treatment of cerebral aneurysm. The patients with such pathology ought to receive urgent medical high-technological care under the conditions of special hospitals.

аневризма, субарахноидальное кровоизлияние, беременность, эндоваскулярная эмболизация, aneurysm, subarachnoid hemorrhage, gestation, endovascular embolization

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