Article ID: 10655
We reported a case of subarachnoid hemorrhage (SAH) in a pregnant female. A-34-year-old woman at 38 weeks gestation presented with sudden headache, vomiting and her consciousness deteriorated into coma immediately after arrival at our hospital. Computed tomography (CT) scan showed a SAH and cerebellar hematoma. CT angiography demonstrated a saccular aneurysm at right posterior inferior cerebellar artery. Her condition was serious because of SAH and cerebellar hematoma and she needed to be performed direct surgery as soon as possible. However, her swollen abdomen prevented her from crouch position. We decided to perform cesarean section followed by clipping the aneurysm. As a result, the fetus was delivered without any complications. The maternal survived and left to another hospital for rehabilitation. If maternal is very serious, it is good to perform cesarean section followed by neurological surgery that could contribute to a good clinical outcome for fetus and maternal.
