Document Type : Original Article

Authors

1 Forensic medicine and toxicology, Zabol University of medical sciences, Zabol, Iran.

2 Undergraduate Student of Midwifery, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran

3 Midwifery Expert. Iranshahr School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr, Iran

Abstract

A cerebral aneurysm is an abnormal bulge in the cerebral artery that spreads where the blood vessel wall has weakened. Cerebral aneurysms may allow blood to leak into the subcutaneous space around the brain and cause damage to brain cells. Brain aneurysms can also be ruptured and can lead to serious and possibly fatal strokes. A cerebral aneurysm is known as swelling of a blood vessel in the brain. In the definition of these conditions, it is said that it looks like a hanging berry from a stem. In cases where most aneurysms do not rupture or cause health problems, samples that experience such conditions cause bleeding in the brain - hemorrhagic stroke. Intracranial hemorrhages have attracted much attention because of the increasing role of indirect maternal mortality and the importance of rapid diagnosis and treatment in reducing mortality, and since in many cases, they occur due to brain vascular aneurysm. The topic is also essential. When faced with an aneurysm in a pregnant woman, the decision about pregnancy, termination and termination is based on the indications of midwifery and decision-making about the diagnosis and treatment of aneurysm based on neurosurgical indications.  

Graphical Abstract

An introduction on cerebrovascular aneurysms during pregnancy

Keywords

Main Subjects

Selected author of this article by journal

ِDr. Khdije Saravai
Zabol University of Medical Sciences

ORCID

Open Access

This article is licensed under a CC BY License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit: http://creativecommons.org/licenses/by/4.0/

 

Publisher’s Note

CMBR journal remains neutral with regard to jurisdictional claims in published maps and institutional afflictions.

 

Letters to Editor

Given that CMBR Journal's policy in accepting articles will be strict and will do its best to ensure that in addition to having the highest quality published articles, the published articles should have the least similarity (maximum 15%). Also, all the figures and tables in the article must be original and the copyright permission of images must be prepared by authors. However, some articles may have flaws and have passed the journal filter, which dear authors may find fault with. Therefore, the editor of the journal asks the authors, if they see an error in the published articles of the journal, to email the article information along with the documents to the journal office.

CMBR Journal welcomes letters to the editor ([email protected], [email protected]) for the post-publication discussions and corrections which allows debate post publication on its site, through the Letters to Editor. Critical letters can be sent to the journal editor as soon as the article is online. Following points are to be considering before sending the letters (comments) to the editor.

[1] Letters that include statements of statistics, facts, research, or theories should include appropriate references, although more than three are discouraged.

[2] Letters that are personal attacks on an author rather than thoughtful criticism of the author’s ideas will not be considered for publication.

[3] There is no limit to the number of words in a letter.

[4] Letter writers should include a statement at the beginning of the letter stating that it is being submitted either for publication or not.

[5] Anonymous letters will not be considered.

[6] Letter writers must include Name, Email Address, Affiliation, mobile phone number, and Comments.

[7] Letters will be answered as soon as possible.

  1. Wang W, Zhang H, Hou C, Liu Q, Yang S, Zhang Z, Yang W, Yang X (2021) Internal modulation of proteolysis in vascular extracellular matrix remodeling: role of ADAM metallopeptidase with thrombospondin type 1 motif 5 in the development of intracranial aneurysm rupture. Aging 13(9):12800-12816. doi:https://doi.org/10.18632/aging.202948
  2. Rustenhoven J, Tanumihardja C, Kipnis J (2021) Cerebrovascular Anomalies: Perspectives From Immunology and Cerebrospinal Fluid Flow. Circulation Research 129(1):174-194. doi:https://doi.org/10.1161/CIRCRESAHA.121.318173
  3. Beneš V, Jurák L, Jedlička J, Dienelt J, Suchomel P (2019) Fatal intracranial aneurysm rupture after thrombolytic treatment for ischemic stroke: a case report and literature review. Acta Neurochirurgica 161(7):1337-1341. doi:https://doi.org/10.1007/s00701-019-03931-3
  4. Kuriakose D, Xiao Z (2020) Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives. International Journal of Molecular Sciences 21(20):7609. doi:https://doi.org/10.3390/ijms21207609
  5. Neifert SN, Chapman EK, Martini ML, Shuman WH, Schupper AJ, Oermann EK, Mocco J, Macdonald RL (2021) Aneurysmal Subarachnoid Hemorrhage: the Last Decade. Translational Stroke Research 12(3):428-446. doi:https://doi.org/10.1007/s12975-020-00867-0
  6. Yger M, Weisenburger-Lile D, Alamowitch S (2021) Cerebrovascular events during pregnancy and puerperium. Revue Neurologique 177(3):203-214. doi:https://doi.org/10.1016/j.neurol.2021.02.001
  7. Bonafiglia QA, Bendeck M, Gotlieb AI (2022) Chapter 7 - Vascular Pathobiology: Atherosclerosis and Large Vessel Disease. In: Buja LM, Butany J (eds) Cardiovascular Pathology (Fifth Edition). Academic Press, pp 265-306. doi:https://doi.org/10.1016/B978-0-12-822224-9.00006-2
  8. Shainker SA, Edlow JA, O'Brien K (2015) Cerebrovascular emergencies in pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology 29(5):721-731. doi:https://doi.org/10.1016/j.bpobgyn.2015.03.004
  9. Yu LY, Hu KC, Liu CJ, Hung CL, Bair MJ, Chen MJ, Wang HY, Wu MS, Shih SC, Liu CC (2019) Helicobacter pylori infection combined with non-alcoholic fatty liver disease increase the risk of atherosclerosis: Focus in carotid artery plaque. Medicine (Baltimore) 98(9):e14672. doi:https://doi.org/10.1097/md.0000000000014672
  10. Allinson KSJ (2019) Deaths related to stroke and cerebrovascular disease. Diagnostic Histopathology 25(11):444-452. doi:https://doi.org/10.1016/j.mpdhp.2019.07.009
  11. Björkegren JLM, Lusis AJ (2022) Atherosclerosis: Recent developments. Cell 185(10):1630-1645. doi:https://doi.org/10.1016/j.cell.2022.04.004
  12. Maas AHEM, Bouatia-Naji N, Persu A, Adlam D (2019) Spontaneous coronary artery dissections and fibromuscular dysplasia: Current insights on pathophysiology, sex and gender. International Journal of Cardiology 286:220-225. doi:https://doi.org/10.1016/j.ijcard.2018.11.023
  13. Shah KP, Peruri A, Kanneganti M, Gorsch L, Ramcharitar R, Williams C, Clouse D, Thomas M, Norton PT, Hagspiel KD, Taylor A, Southerland A, Matsumoto AH, Angle JF, Mace P, Khaja MS, Sharma AM (2021) Fibromuscular dysplasia: A comprehensive review on evaluation and management and role for multidisciplinary comprehensive care and patient input model. Seminars in Vascular Surgery 34(1):89-96. doi:https://doi.org/10.1053/j.semvascsurg.2021.02.009
  14. Hoai DTP, The BL, Dieu TTM, Duyen LN, Thi MD, Minh NT (2020) Cerebral Salt-Wasting Syndrome and Elevated Brain Natriuretic Peptide Levels caused by Minor Traumatic Brain Injury: A case report. Brain Hemorrhages 1(3):166-170. doi:https://doi.org/10.1016/j.hest.2020.08.004
  15. Malapati R, Vuong YN, Nguyen TM (2013) Reporting cervical effacement as a percentage: How accurate is it? Open Journal of Obstetrics and Gynecology 2013
  16. Bleakney R (1957) Intracranial aneurysms complicating pregnancy. Southern medical journal 50(9):1168-1173; discussion 1173-1164. doi:https://doi.org/10.1097/00007611-195709000-00015
  17. Meyers PM, Halbach VV, Malek AM, Phatouros CC, Dowd CF, Lawton MT, Lempert TE, Higashida RT (2000) Endovascular Treatment of Cerebral Artery Aneurysms during Pregnancy: Report of Three Cases. American Journal of Neuroradiology 21(7):1306
  18. Kataoka H, Miyoshi T, Neki R, Yoshimatsu J, Ishibashi-Ueda H, Iihara K (2013) Subarachnoid hemorrhage from intracranial aneurysms during pregnancy and the puerperium. Neurologia medico-chirurgica 53(8):549-554. doi:https://doi.org/10.2176/nmc.53.549
  19. Lakhani S, Guha A, Nahser HC (2006) Anaesthesia for endovascular management of cerebral aneurysms. European Journal of Anaesthesiology 23(11):902-913. doi:https://doi.org/10.1017/S0265021506000901
  20. Razmara A, Bakhadirov K, Batra A, Feske SK (2014) Cerebrovascular Complications of Pregnancy and the Postpartum Period. Current Cardiology Reports 16(10):532. doi:https://doi.org/10.1007/s11886-014-0532-1
  21. Guida M, Altieri R, Palatucci V, Visconti F, Pascale R, Marra M, Locatelli G, Saponiero R, Tufano R, Bifulco F, Piazza O (2012) Aneurysmal subarachnoid haemorrhage in pregnancy: a case series. Translational medicine @ UniSa 2:59-63
  22. Tarnaris A, Haliasos N, Watkins LD (2012) Endovascular treatment of ruptured intracranial aneurysms during pregnancy: Is this the best way forward? Case report and review of the literature. Clinical Neurology and Neurosurgery 114(6):703-706. doi:https://doi.org/10.1016/j.clineuro.2011.11.025
  23. Carpenter MW (2007) Gestational Diabetes, Pregnancy Hypertension, and Late Vascular Disease. Diabetes Care 30(Supplement_2):S246-S250. doi:https://doi.org/10.2337/dc07-s224
  24. Hacein-Bey L, Varelas PN, Ulmer JL, Mark LP, Raghavan K, Provenzale JM (2015) Imaging of Cerebrovascular Disease in Pregnancy and the Puerperium. American Journal of Roentgenology 206(1):26-38. doi:https://doi.org/10.2214/AJR.15.15059