SciELO - Scientific Electronic Library Online

vol.37 issue3Health intervention on sexually transmitted infections in a closed institution, 2005-2006Vulnerability areas useful for evaluating the health status of the officers of the Revolutionary Armed Forces author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Revista Cubana de Medicina Militar

Print version ISSN 0138-6557On-line version ISSN 1561-3046


PRINCE LOPEZ, José Antonio et al. Conduct to be followed in the cerebrovascular malformations in pregnancy and puerperium. Rev Cub Med Mil [online]. 2008, vol.37, n.3. ISSN 0138-6557.

A review of the present concepts for the diagnosis and treatment of pregnant women who are diagnosed an intracranial vascular malformation, with emphasis on the repercussion that it or surgery may have on the fetus and the mother, was made. The conduct to be followed before an arteriovenous malformation or an aneurysm during gestation or puerperium is still a controversial topic in neurosurgery. The intracranial hemorrhages (subarachnoid and/or intraparenchymatous) occuring during pregnancy and puerperium are rare. Some authors estímate their incidence between 0.002 and 0.005 % of all pregnant women. It is reported that mortality associated with subararachnoid hemorrhages in pregnancy is from 27 to 40 %. They are also considered responsible for 4-12 % of the maternal deaths. It is stated that in the brain aneurysms, the risk at bleeding increases as pregnancy progresses, with a higher possibility of rupture in the third trimestre. The treatment of aneurysms bleeding during gestation is similar to the one applied to those female patients that are not pregnant. The best way to treat a gravid patient with intracranial hemorrhage resulting from an intracranial vascular malformation has not been established yet. The therapeutic decision should be made case by case.

Keywords : Pregnancy; puerperium; arteriovenous malformation; aneurysm; intracranial hemorrhage.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License