Perimesencephalic Subarachnoid Hemorrhage in Pregnancy: A Case Report
10.1097/FM9.0000000000000107
- VernacularTitle:Perimesencephalic Subarachnoid Hemorrhage in Pregnancy: A Case Report
- Author:
Stefania RUGGIERI
1
;
Maurizia GATTO
;
Gentile Maria ANNUNZIATA
;
Salvatore D’ORIA
;
Filippo TAMMA
;
Domenico CARINGELLA
;
Alessandra GIOCOLANO
;
Chiara TACCALITI
;
Maurizio GUIDO
Author Information
1. Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Policlinico Agostino Gemelli IRCCS, Rome 00168, Italy
- Publication Type:Journal Article
- Keywords:
Subarachnoid hemorrhage;
Cerebrovascular diseases;
Headache;
Magnetic resonance angiography;
Pregnancy
- From:
Maternal-Fetal Medicine
2022;04(4):290-292
- CountryChina
- Language:English
-
Abstract:
Perimesencephalic subarachnoid hemorrhage (P-SAH) is a benign subset of subarachnoid hemorrhage. Only two cases of P-SAH during pregnancy have been reported in the literature. We describe a case of P-SAH detected at 29 weeks’ gestation, arose with severe bilateral frontal headache, neck rigidity, and vomiting. A diagnosis of P-SAH was confirmed on magnetic resonance angiography with no evidence of vascular malformation or bleeding sources and conservatively treated. Hemorrhage, vasospasm, and cerebellar edema observed on initial magnetic resonance angiography resolved after two months. The clinical course of P-SAH during pregnancy appears to be favorable. Our case shows for the first time in literature that magnetic resonance angiography is a valid diagnostic test for P-SAH during pregnancy that circumvents radiological risk associated with conventional imaging.
