妊娠期に脳動静脈奇形による脳内出血を生じた2例

概要

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We report two cases of pregnant females presenting with intracerebral hematoma caused by ruptured arteriovenous malformation (AVM). A 21-year-old woman suddenly presented with severe headache, motor aphasia and right hemiparesis at 30 weeks of pregnancy because of a hematoma in the left frontal lobe. A cerebral angiogram showed AVM in the frontal lobe. We performed an emergency operation to remove the hematoma and AVM. The postoperative course was uneventful without neonatal complications. In the other case, a 32-year-old woman complained of headache and vomiting at 11 weeks of pregnancy. A CT scan indicated a right cerebellar hematoma. A cerebral angiogram revealed cerebellar AVM. An emergency surgical evacuation of the hematoma and AVM was performed. A complete cure was achieved after operation without complications. Intracerebral hematoma in a pregnant woman can lead to the death of the mother and fetus. Appropriate diagnosis and treatment should be immediately undertaken to save maternal and neonatal life.
一般社団法人日本脳卒中の外科学会の論文