A Rare Cause of Headache during Pregnancy
Published: February 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/30087.11147
Fabiane Amaral das Neves, Filipa Raquel Pereira Nunes, Maria Inês Marques Polónio
1. Senior Resident, Department of Obstetrics B, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
2. Senior Resident, Department of Obstetrics B, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
3. Senior Doctor, Department of Obstetrics B, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
Correspondence
Dr. Fabiane Amaral das Neves,
Rua Francisco Lucas Pires, n65, 1B, 3030-489, Coimbra, Portugal.
E-mail: fabiane.am.neves@gmail.com
Aneurysmal Subarachnoid Hemorrhage (SAH) during pregnancy is an important cause of maternal and fetal morbidity and mortality. Controversies still exist related to its diagnostic and treatment approach. This article aims to call attention to the importance of early diagnosis and treatment of intracranial aneurysm during pregnancy, through, a case report of a 38-year-old female, 38 weeks 5 days pregnant, with essential Arterial Hypertension (AHT), treated with Nifedipine, was admitted to the emergency room after suffering a mild headache. She presented high blood pressure and moderate proteinuria. She was also submitted to cranial-cephalic MRI, showing SAH and angio-MRI, confirming cerebral aneurysm of the right middle artery. Immediately afterwards, the patient underwent emergency cesarean section and aneurysm clipping.
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