Twin pregnancy with rupture of cerebral arterio venous malformation with intracranial hemorrhage

Authors

  • Bhuvana Preethi S. Department of Obstetrics and Gynecology, Vijaya Hospital, Chennai, Tamil Nadu, India http://orcid.org/0000-0002-6383-6409
  • Usha Rajesh N. Department of Obstetrics and Gynecology, Vijaya Hospital, Chennai, Tamil Nadu, India
  • Prasanth Nagarajan Department of General Surgery, Saveetha Medical College, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222818

Keywords:

Twins, AV malformation, Intracranial hemorrhage

Abstract

Cerebral AV malformation in pregnancy is a rare condition with a prevalence rate of approximately 0.01-0.5%. It generally presents symptoms at 20-40 years of age most commonly at around 30 years of age. It affects both men and women but more prevalent in women at this age group. We presented a case of primi gravida at 22 weeks of gestation with DCDA type of twin presenting in emergency department with intracranial hemorrhage secondary to rupture of AV malformation.

 

Author Biography

Bhuvana Preethi S., Department of Obstetrics and Gynecology, Vijaya Hospital, Chennai, Tamil Nadu, India

Obstetrics and Gyneacology

References

Perquin DA, Kloet A, Tans JT, Witte GN, Dörr PJ. Intracranial arteriovenous malformations in pregnant women. Ned Tijdschr Geneeskd. 1999;143(10):497-500.

Trivedi RA, Kirkpatrick PJ. Arteriovenous malformations of the cerebral circulation that rupture in pregnancy. J Obstet Gynaecol. 2003;23(5):484-9.

Fleetwood IG, Steinberg GK. Arteriovenous malformations. Lancet. 2002;359(9309):863-73.

Schwartz J, Lynbrook NY. Pregnancy complicated by subarachnoid hemorrhage. Am J Obstet Gynecol. 1951;62(3):539-47.

Mounayer C, Hammami N, Piotin M, Spelle L, Benndorf G, Kessler I, et al. Nidal embolization of brain arteriovenous malformations using Onyx in 94 patients. AJNR Am J Neuroradiol. 2007;28(3):518-23.

Natarajan SK, Ghodke B, Britz GW, Born DE, Sekhar LN. Multimodality treatment of brain arteriovenous malformations with microsurgery after embolization with onyx: single-center experience and technical nuances. Neurosurgery. 2008;62(6):1213-25.

Panagiotopoulos V, Gizewski E, Asgari S, Regel J, Forsting M, Wanke I. Embolization of intracranial arteriovenous malformations with ethylene-vinyl alcohol copolymer (Onyx). AJNR Am J Neuroradiol. 2009;30(1):99-106.

Robinson JL, Hall CS, Sedzimir CB. Subarachnoid hemorrhage in pregnancy. J Neurosurg 1972;36:27-33.

Spetzler RF, Martin NA. A proposed grading system for arteriovenous malformations. J Neurosurg. 1986;65(4):476-83.

Downloads

Published

2022-10-28

Issue

Section

Case Reports