• Wei Li, Yang Liu, Fudi Chu, Mingjian Li, and Jinpeng Wang.
• Department of Neurosurgery, Weifang People's Hospital, Weifang, Shandong, China.
• Medicine (Baltimore). 2024 Aug 16; 103 (33): e39269e39269.

BackgroundTo summarize the clinical experience of intracranial aneurysm clipping in the treatment of ruptured intracranial aneurysms in the second trimester of pregnancy.MethodsA case of ruptured middle cerebral aneurysm in the second trimester of pregnancy was reported. Craniotomy and aneurysm clipping were performed at 24 weeks of pregnancy, and fetal preservation was continued after the operation.ResultsThe prognosis of the parturient was good and the skull was missing on the operative side. A healthy baby boy was delivered by cesarean section 2 months after the operation, and skull repair was performed 4 months after the operation. During the follow-up for 1 year, the mother and son were healthy and no obvious sequelae were found.ConclusionRuptured intracranial aneurysm hemorrhage in mid-pregnancy is a rare and critical case. Summarizing the corresponding clinical experience will help to have a reference plan for the next time when facing a similar situation, and it will help to treat critically ill patients. The treatment of ruptured intracranial aneurysm in mid-pregnancy requires multidisciplinary collaboration, and cranial aneurysm clamping + fertility preservation can reduce the impact of radiation on the fetus and improve the prognosis for both the mother and the fetus.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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