孕妇脑动静脉畸形破裂1例报告。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-12-01 Epub Date: 2022-05-05 DOI:10.1080/02688697.2022.2064426

Juliana Mayorga-Corvacho, David Vergara-Garcia, Camilo Benavides, William Mauricio Riveros

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引用次数: 0

摘要

背景脑动静脉畸形（bAVM）是一种常见于颅内出血的血管病变。妊娠与bAVM破裂风险增加有关。然而，孕妇的自然病史尚不确定。病例描述：一名27岁女性，妊娠28周时，因左额Spetzler-Martin量表（SM）III破裂而出现神经系统受损 + bAVM。由于胎儿窘迫的风险很高，所以进行了紧急剖腹产手术。血管内治疗成功控制了出血部位，立体定向放射外科是随后的治疗选择。结论bVM应考虑用于颅内出血的孕妇。妊娠期对这些病变的处理是有争议的。在选择管理策略时，应考虑手术风险和胎儿发育。

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Ruptured brain arteriovenous malformation in a pregnant woman: a case report.

Background: Brain arteriovenous malformations (bAVMs) are vascular lesions that commonly present with intracranial haemorrhage. Pregnancy has been associated with an increased risk of bAVM rupture. However, their natural history in pregnant women is uncertain.

Case description: A 27-year-old female at 28 weeks of gestation presented with a compromised neurological status secondary to a ruptured left frontal Spetzler-Martin scale (SM) III + bAVM. An emergent caesarean section was performed due to the high risk of foetal distress. Endovascular treatment successfully controlled the bleeding site, and stereotactic radiosurgery was offered as a subsequent treatment option.

Conclusion: bAVMs should be considered in pregnant women with intracranial haemorrhage. The management of these lesions during pregnancy is controversial. Surgical risk and foetal development should be considered when selecting a management strategy.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.