How is hemorrhagic stroke treated during pregnancy?

Updated: Nov 08, 2018
  • Author: Carmel Armon, MD, MSc, MHS; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

Answer

Management of hemorrhagic stroke depends on its location and etiology. General measures include discontinuance of antithrombotics or anticoagulation, management of blood pressure, and general supportive measures. Ruptured cerebral aneurysms or AVMs that have bled may have to be treated urgently either with open surgery or with endovascular interventions.

It is easiest to proceed with these treatment decisions if all parties agree that the life of the mother takes precedence. When treatment is optimized for the mother, it may be impossible to safeguard the fetus from all risks.


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