What does this research mean for the field?

While standard hemodynamic therapies for vasospasm during pregnancy can provoke maternal and fetal complications, endovascular rescue strategies such as intra-arterial nimodipine and ventriculo-atrial shunting serve as effective and viable alternatives. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To explore the management challenges of aneurysmal subarachnoid hemorrhage during pregnancy and analyze outcomes.

April 7, 2026Journal of Clinical MedicineOpen Access

The patient achieved complete resolution of third cranial nerve palsy, and both mother and infant were discharged without complications.

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Why the study?

Aneurysmal subarachnoid hemorrhage during pregnancy is rare and challenging to manage, requiring careful consideration of maternal and fetal outcomes.

Population

A 32-year-old woman at 31 weeks of gestation with aneurysmal SAH

Design

Case report

Authors

YKYou Sub Kim SJSung Pil Joo TKTae Sun Kim

Discussion

Member takes

Overview

May offer rescue in pregnant SAH with severe vasospasm or hydrocephalus; hypothesis-generating and should not yet change practice.

Key Points

To explore the management challenges of aneurysmal subarachnoid hemorrhage during pregnancy and analyze outcomes.
Case presentation of a 32-year-old woman at 31 weeks of gestation with SAH
Multidisciplinary approach to surgical clipping while preserving pregnancy
Use of intra-arterial nimodipine for treating severe vasospasm
Postoperative interventions including cesarean section and ventriculo-peritoneal shunt placement
Patient demonstrated gradual neurological recovery and resolution of symptoms
Both mother and infant discharged without complications after cesarean section
Initial hypertension management led to fetal distress, highlighting risks of vasopressor use

Structured PICO

Population

1 pregnant woman (32 years old, 31 weeks gestation) with aneurysmal subarachnoid hemorrhage, obstructive hydrocephalus, and a 5 mm left posterior communicating artery aneurysm.

Intervention

Surgical clipping, intra-arterial nimodipine for vasospasm, cesarean section, and ventriculo-atrial shunting.

Outcome

Maternal and fetal clinical outcomes

Intra-arterial nimodipine and ventriculo-atrial shunting can be effective rescue strategies for severe vasospasm and hydrocephalus in pregnant patients with subarachnoid hemorrhage.

Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/69d49f44b33cc4c35a227caa https://doi.org/10.3390/jcm15072718

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April 7, 2026Journal of Clinical MedicineOpen Access

The patient achieved complete resolution of third cranial nerve palsy, and both mother and infant were discharged without complications.

View Full Paper

Ask AI

Bookmark

Why the study?

Aneurysmal subarachnoid hemorrhage during pregnancy is rare and challenging to manage, requiring careful consideration of maternal and fetal outcomes.

Population

A 32-year-old woman at 31 weeks of gestation with aneurysmal SAH

Design

Case report

Authors

YKYou Sub Kim SJSung Pil Joo TKTae Sun Kim

Discussion

Member takes

Overview

May offer rescue in pregnant SAH with severe vasospasm or hydrocephalus; hypothesis-generating and should not yet change practice.

Key Points

To explore the management challenges of aneurysmal subarachnoid hemorrhage during pregnancy and analyze outcomes.
Case presentation of a 32-year-old woman at 31 weeks of gestation with SAH
Multidisciplinary approach to surgical clipping while preserving pregnancy
Use of intra-arterial nimodipine for treating severe vasospasm
Postoperative interventions including cesarean section and ventriculo-peritoneal shunt placement
Patient demonstrated gradual neurological recovery and resolution of symptoms
Both mother and infant discharged without complications after cesarean section
Initial hypertension management led to fetal distress, highlighting risks of vasopressor use

Structured PICO

Population

1 pregnant woman (32 years old, 31 weeks gestation) with aneurysmal subarachnoid hemorrhage, obstructive hydrocephalus, and a 5 mm left posterior communicating artery aneurysm.

Intervention

Surgical clipping, intra-arterial nimodipine for vasospasm, cesarean section, and ventriculo-atrial shunting.

Outcome

Maternal and fetal clinical outcomes

Intra-arterial nimodipine and ventriculo-atrial shunting can be effective rescue strategies for severe vasospasm and hydrocephalus in pregnant patients with subarachnoid hemorrhage.

Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/69d49f44b33cc4c35a227caa https://doi.org/10.3390/jcm15072718

View Full Paper

Ask AI

Bookmark