akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLC10.17749/2313-7347/ob.gyn.rep.2022.300akusherstvo-1423Research ArticleREVIEW ARTICLESНАУЧНЫЕ ОБЗОРЫIntracranial hemorrhage during pregnancyВнутричерепное кровоизлияние во время беременности.https://orcid.org/0000-0001-7577-3284БаялиеваА. Ж.BayalievaA. Zh.

Баялиева Айнагуль Жолдошевна – д.м.н., профессор, зав. кафедрой анестезиологии и реаниматологии, медицины катастроф; профессор кафедры анестезиологии-реаниматологии и трансфузиологии

Россия, 420012 Казань, ул. Бутлерова, д. 49

Россия, Казань 420015, ул. Бутлерова, д. 36

Ainagul Zh. Bayalieva – MD, Dr Sci Med, Professor, Head of the Department of Anesthesiology and Resuscitation, Disaster Medicine; Professor, Department of Anesthesiology-Resuscitation and Transfusiology

49 Butlerova Str., Kazan 420015, Russia

36 Butlerova Str., Kazan 420015, Russia

bayalieva1@yandex.comhttps://orcid.org/0000-0003-4718-5076ДавыдоваВ. Р.DavydovaV. R.

Давыдова Вероника Рустэмовна – к.м.н., доцент кафедры анестезиологии и реаниматологии, медицины катастроф

Россия, 420012 Казань, ул. Бутлерова, д. 49

Veronika R. Davydova – MD, PhD, Associate Professor, Department of Anesthesiology and Resuscitation

49 Butlerova Str., Kazan 420015, Russia

https://orcid.org/0000-0001-7759-7528МохсинМ.MokhsinM.

Мохсин Мунир – клинический ординатор кафедры анестезиологии и реаниматологии, медицины катастроф

Россия, 420012 Казань, ул. Бутлерова, д. 49

Munir Mokhsin – MD, Clinical Resident, Department of Anesthesiology and Resuscitation, Disaster Medicine

49 Butlerova Str., Kazan 420015, Russia

https://orcid.org/0000-0001-8945-8912ЮпатовЕ. Ю.IupatovE. Iu.

Юпатов Евгений Юрьевич – к.м.н., доцент, зав. кафедрой акушерства и гинекологии; доцент кафедры хирургии и последипломного образования

Scopus Author ID: 57201192778

Россия, Казань 420015, ул. Бутлерова, д. 36

Россия, 420012 Казань, ул. Карла Маркса, д. 74

Evgenii Iu. Iupatov – MD, PhD, Associate Professor, Head of the Department of Obstetrics and Gynecology; Associate Professor, Department of Surgery and Postgraduate Education

36 Butlerova Str., Kazan 420015, Russia

74 Karl Marks Str., Kazan 420012, Russia

ФГБОУ ВО «Казанский государственный медицинский университет» Министерства здравоохранения Российской Федерации; Казанская государственная медицинская академия – филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской ФедерацииРоссияKazan State Medical University, Health Ministry of Russian Federation; Kazan State Medical Academy – Branch of Russian Medical Academy of Continuing Professional Education, Health Ministry of Health of the Russian FederationRussian FederationФГБОУ ВО «Казанский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияKazan State Medical University, Health Ministry of Russian FederationRussian FederationКазанская государственная медицинская академия – филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской Федерации; Институт фундаментальной медицины и биологии ФГАОУ ВО «Казанский (Приволжский) федеральный университет»РоссияKazan State Medical Academy – Branch of Russian Medical Academy of Continuing Professional Education, Health Ministry of Health of the Russian Federation; Institute of Fundamental Medicine and Biology, Kazan (Volga Region) Federal UniversityRussian Federation202215092022164463478Copyright © Bayalieva A.Z., Davydova V.R., Mokhsin M., Iupatov E.I., 20222022Баялиева А.Ж., Давыдова В.Р., Мохсин М., Юпатов Е.Ю.Bayalieva A.Z., Davydova V.R., Mokhsin M., Iupatov E.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/1423

Here, we review publications aimed at assessing the prevalence of intracranial hemorrhage, types of hemorrhage in pregnant patients, diagnostic features, as well as the basic principles of treatment used in such cases. There a represented pathologies in pregnant women such as subarachnoid, subdural, extradural hemorrhage, thrombosis of cavernous sinuses, arteriovenous malformations, neoplasms. There are summarized data within the years from 2015 to 2020 retrieved from the search databases PubMed/MEDLINE, Google Scholar, and Web of Science. Based on our study, it was concluded that intracranial hemorrhages during pregnancy most often occur in the third trimester. This is due to several factors: development of preeclampsia, increased blood pressure, coagulopathy, HELLP-syndrome, physiological remodeling of cerebral autoregulation, and concomitant initial pathology of cerebral vessels such as aneurysms and arteriovenous malformations. We also draw special attention to the importance of timely differential diagnostics of hypertensive conditions during preeclampsia and neurosurgical pathology requiring urgent intervention.

Обзор литературы посвящен распространенности внутричерепных кровоизлияний, разновидностям кровоизлияний у беременных пациенток, особенностям диагностики, а также основным принципам лечения данных состояний. Рассмотрены такие патологии у беременных, как субарахнаидальное, субдуральное, экстрадуральное кровоизлияние, тромбоз кавернозных синусов, артериовенозные мальформации, неоплазии. Обобщались данные из поисковых систем PubMed/MEDLINE, Google Scholar, Web of Science, опубликованные в период с 2015 г. по 2020 г. На основании изучения литературы авторы пришли к заключению, что внутричерепные кровоизлияния при беременности чаще всего встречаются в III триместре. Это обусловлено несколькими факторами: развитием преэклампсии, повышением артериального давления, коагулопатиями, HELLP-синдромом, физиологической перестройкой церебральной ауторегуляции и наличием исходно патологии сосудов головного мозга в виде аневризм, артериовенозных мальформаций. Авторы обращают внимание на важность своевременной дифференциальной диагностики гипертензивных состояний на фоне преэклампсии и нейрохирургической патологии, требующей неотложного вмешательства.

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The authors declare that there are no conflicts of interest present.