A Rare Cause of Headache during Pregnancy

Fabiane Amaral das Neves; Filipa Raquel Pereira Nunes; Maria Inês Marques Polónio

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A Rare Cause of Headache during Pregnancy

机译：怀孕期间头痛的罕见原因

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Aneurysmal Subarachnoid Hemorrhage (SAH) during pregnancy is an important cause of maternal and fetal morbidity and mortality. Controversies still exist related to its diagnostic and treatment approach. This article aims to call attention to the importance of early diagnosis and treatment of intracranial aneurysm during pregnancy, through, a case report of a 38-year-old female, 38 weeks 5 days pregnant, with essential Arterial Hypertension (AHT), treated with Nifedipine, was admitted to the emergency room after suffering a mild headache. She presented high blood pressure and moderate proteinuria. She was also submitted to cranial-cephalic MRI, showing SAH and angio-MRI, confirming cerebral aneurysm of the right middle artery. Immediately afterwards, the patient underwent emergency cesarean section and aneurysm clipping.

机译：怀孕期间的动脉瘤性蛛网膜下腔出血（SAH）是母婴发病率和死亡率的重要原因。关于其诊断和治疗方法仍存在争议。本文旨在通过怀孕38岁，妊娠38周5天，患有原发性高血压（AHT）的38岁女性的病例报告，提醒人们注意妊娠期间颅内动脉瘤的早期诊断和治疗的重要性。硝苯地平因轻度头痛而入急诊室。她表现出高血压和中度蛋白尿。她还接受了颅脑MRI检查，显示出SAH和血管MRI，证实了右中动脉的脑动脉瘤。此后，患者立即进行了紧急剖宫产和夹闭动脉瘤。

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《Journal of Clinical and Diagnostic Research》 |2018年第2期|共2页
作者
Fabiane Amaral das Neves; Filipa Raquel Pereira Nunes; Maria Inês Marques Polónio;
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中图分类临床医学;
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1. A headache-free reversible cerebral vasoconstriction syndrome (RCVS) with symptomatic brain stem ischemia at late pregnancy as a rare manifestation of RCVS resolved with termination of pregnancy by semi-urgent cesarean section [J] . Chisato Kasuya, Mina Suzuki, Yukako Koda, Oxford Medical Case Reports . 2018,第12期

机译：怀孕症状性脑干血管收缩综合征（RCVS）在妊娠晚期患有症状性脑干缺血，罕见的RCVS通过半紧急剖宫组终止妊娠终止
2. Pituitary apoplexy during pregnancy: a rare, but dangerous headache. [J] . E Piantanida, D Gallo, V Lombardi, Journal of Endocrinological Investigation: Official Journal of the Italian Society of Endocrinology . 2014,第9期

机译：妊娠期垂体中风：罕见但危险的头痛。
3. Headache related to pregnancy: management of migraine and migraine headache in pregnancy. [J] . Brandes JL Current treatment options in neurology . 2008,第1期

机译：与妊娠有关的头痛：妊娠偏头痛的治疗和偏头痛。
4. Low Back Pain and Headache During Pregnancy [C] . E. Alon, P. Biro, D. Ni International Pain Clinic . 2006

机译：怀孕期间腰痛和头痛
5. An examination of symptoms and coping behaviors of patients with post-traumatic headache and primary headache [D] . Erfanian, Nasrin 1995

机译：创伤后头痛和原发性头痛患者的症状和应对行为的检查
6. A headache-free reversible cerebral vasoconstriction syndrome (RCVS) with symptomatic brain stem ischemia at late pregnancy as a rare manifestation of RCVS resolved with termination of pregnancy by semi-urgent cesarean section [O] . Chisato Kasuya, Mina Suzuki, Yukako Koda, 2018

机译：无头痛可逆性脑血管收缩综合征（RCVS）妊娠晚期有症状的脑干缺血是罕见的RCVS表现可通过半紧急剖宫产术终止妊娠
7. A headache-free reversible cerebral vasoconstriction syndrome (RCVS) with symptomatic brain stem ischemia at late pregnancy as a rare manifestation of RCVS resolved with termination of pregnancy by semi-urgent cesarean section [O] . Chisato Kasuya, Mina Suzuki, Yukako Koda, 2018

机译：怀孕症状性脑干血管收缩综合征（RCVS）在妊娠晚期患有症状性脑干缺血，罕见的RCVS通过半紧急剖宫组终止妊娠终止

A Rare Cause of Headache during Pregnancy

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