Unruptured Aneurysm and Pregnancy

My wife was not expected to live after a massive subarachnoid hemorrhage that occurred suddenly. It ruptured again in surgery. She was in a deep coma for weeks but miraculously survived and now it is difficult to even tell it happened. She still has a very small - 1mm aneurysm that would be more dangerous to try and do surgery on rather than monitor it and keep blood pressure down. So this is not a death sentence by any means for you. Consult with your doctor and a neurosurgeon to get the answer to your question. We will be thinking of you and your husband and loved ones and wish a great outcome for you.

Hi,

I had my 7mm aneurysm discovered incidentally as well, and know what a shock it can be. As a senior citizen, I can't imagine how you feel knowing you are pregnant as well as a young mother (although I know I want to be around to see my grandchildren grow up.) I would imagine that your obstetrician and neurologist will confer and counsel you. Should you go ahead with treatment for your aneurysm, I can't think of anything in the procedure that would be harmful to a pregnancy...so ask, ask, ask, and I'm sure there are answers out there for you....best of luck and lots of hugs.

Know that everyone on here who have been diagnosed with unruptured aneurysms also felt the paralyzing fear and shock (unbelieveability such a thing could happen). I am beyond childbearing years but along with one aneurysm that was taken care of with a stent/coil procedure 10 years ago…another aneurysm was found at that time…3mm. They often aren’t as worried about the smaller ones. They have watched it for 10 years and it hasn’t gotten any bigger. Like others have said, have faith in your doctors, go to the best neurosurgeon you can find… Enjoy your little boy and have faith that he will soon have a baby brother or sister and a happy, healthy mama. The best to you and your family…keep in touch.

Hi! Congratulations!!!! It can be frightening but it is a blessing. Your aneurysm seems small being 1.5 mm. Mine was 3 mm and when I talked to the doctor he said I could get pregnant but taking very good care of my blood pressure, weight and that I should have a c-section. You should inform your obstetrician, and consult your neurologist in any case. But please reduce your stress, that won't help your baby or aneurysm, and could increase your blood pressure!. Good luck

I have two unruptured aneurysms and well past childbearing years but I do understand what it feels like to be that frightened. Seems like 1.5 mm is quite small just go with your doctors advice. I'm sure they feel confident you will be fine

Congratulations on your pregnancy! I am so sorry that you have an aneurysm but so happy they found it. I had my 8mm aneurysm coiled and a stent placed 7/13 and had my baby girl 8/14. My neurosurgeon was only concerned about keeping my blood pressure low and that I had to have a c section. I am now blessed with two beautiful children… My son is 5. Definitely consult your neurosurgeon about safe parameters for blood pressure.

I’m Praying for you and your family,

Shannon

Hello and congrats. I had a 5.5mm aneurysm which I was told I was born with a weak vessel in my brain. Well I have had 3 children with that weak vessel now mind you I didn’t know that I had a aneurysm but at the age of 34 my weak vessel burst and that’s when I found out about my aneurysm, if I would have known about my Annie then I probably would have had a c - section instead of a vaginal birth. But thank God he brought me through all 3 births as he will do the same for you. So keep the faith and get a good OB doctor and a neurologist and let God do the rest. God Bless you and I will look forward to hearing your good news of the new addition to your family. God Bless, Tiffany

Thanks for all the encouraging words. They have made me feel better. I have a consult with an OB later this week, and I'm still awaiting an appointment with a neurosurgeon.

Dear CWMama; I so understand the fear and you do have to go by what the neurosurgeon says. I think a lot depends on where it is size etc.. Sounds very small and remember some people live with these all their lives. I have had two repaired and my third is 3mm and they are just watching it and I am 62! The doctors will explain how the blood volume changes in pregnancy and I have seen women be treated during their pregnancy and all is well. I wish you a healthy pregnancy and wonderful new baby. Please keep us informed . This site was my only solace when I found out a year ago that I had three aneurysms!!. We send powerful prayers out!

Hi, First of all take a deep breath and chill! In the grand scale of things your aneurysm is small and as such very low risk.

Talk to your Neuro specialist and ask him what he intends to do about the aneurysm, if anything as it is small.

Also advise him that you are pregnant and get him to talk to your Gynie / House doctor, both of them need to be talking to each other.

Between them they are likely to monitor your blood pressure and make sure that it is maintained at a normal level.

Remember, the comments that you get from this site, are just that, COMMENTS and lots of moral support.

The important thing is to make sure that your medical team are aware of the situation and then let them guide you!

You will be fine, so chill, take their advice and all will be good.

Kind Regards

Martinc

Congratulations! You and babies are going to be great! My aneurysm 6mm was discovered when my baby was a year and 1/2. My neurosurgeon said for sure I had had it when having my son- naturally;) it was operated 3years ago and since then I have had a beautiful baby girl. Lucky are we that find it unruptured! God bless you!

Hi,

I suffered a severe ruptured aneurysm on the basal artery four years ago when I was 62. They tell me the aneurysm was a developmental flaw and had probably been present all my life, since before my birth. I suffered appalling migraines since my teenage years, which stopped after the rupture, so I assume it was pressure from the aneurysm that was causing them. Despite this, I gave birth to my three children without any problem at all, the last being born when I was 43 ! As I didn't know about my lurking aneurysm, I didn't have to worry about it, but I can well imagine how scared I would have been if I had known. What everybody else says is right - get your gynae and neuro consultants to confer.

Wishing you all the very best,

Sally

Hey,

So happy to hear about your pregnancy!! Congratulations. I am an Emergency RN (well at least I was) until I had a ruptured cerebral aneurysm April 2013. Had brain surgery (coiling) and kicked its ass out the door. No major physiological deficits and no physical deficits except fatigue.

On a follow up MRI I was diagnosed with a cervical aneurysm at C2 in the vertebral artery. Its 2.3mm. Have you seen a specialist yet about it? I have an appointment this week with my neurosurgeon to figure out a plan. Since I am prone to rupture I might be in a different category then you but it was a question I wanted to ask about as well. I will reply to this once I see him on thursday!

From the research I have done, there is very low risk of rupture, less then 10% actually result in a rupture and most dont know they have it before the rupture, so your lucky you now know!! In regards to pregnancy, if they would consider you high risk wouldn't a c-section be the plan of action. Thats my clinical thoughts.

Anyways, Ill let you know when I find out! Good luck to you!

Hi Ali'e, I read your post and must advise that it is not good to quote statistics, when you are not sure of their accuracy.

The risks associated with aneurysms below 10mm is 0.05% and that is minuscule as opposed to what you quote at 10% please be careful when quoting % as people will take your quote at face value, despite it being miles from being accurate.

Please look at the link which is an authoritive study and gives the facts!http://www.nejm.org/doi/full/10.1056/NEJM199812103392401

I appreciate that comments are always well meant, but as I have said in many previous posts, all of us on this site need to deal in facts as often our comments can be misunderstood.
kind Regards

Martinc



Ali'e said:

Hey,

So happy to hear about your pregnancy!! Congratulations. I am an Emergency RN (well at least I was) until I had a ruptured cerebral aneurysm April 2013. Had brain surgery (coiling) and kicked its ass out the door. No major physiological deficits and no physical deficits except fatigue.

On a follow up MRI I was diagnosed with a cervical aneurysm at C2 in the vertebral artery. Its 2.3mm. Have you seen a specialist yet about it? I have an appointment this week with my neurosurgeon to figure out a plan. Since I am prone to rupture I might be in a different category then you but it was a question I wanted to ask about as well. I will reply to this once I see him on thursday!

From the research I have done, there is very low risk of rupture, less then 10% actually result in a rupture and most dont know they have it before the rupture, so your lucky you now know!! In regards to pregnancy, if they would consider you high risk wouldn't a c-section be the plan of action. Thats my clinical thoughts.

Anyways, Ill let you know when I find out! Good luck to you!

Hi Again, Please see my reply to a post made by Ali'e below, whilst It is well intentioned, the mention of risk at 10% is wildly inaccurate!

I attach for your attention a link to probably the most authorative study carried out on un-ruptured brain aneurysms for you to look at and understand the issue of Risk, Size and location.

The link is as follows: http://www.nejm.org/doi/full/10.1056/NEJM199812103392401

As I said in my previous post to you earlier today, comments are what they are and no more than comments, all are well intentioned, however now and then some can be misconstrued in terms of accuracy.

As I said earlier, consult with your medical team and make sure that they are all on the same page and clearly understand your situation!

Do that and you will be at peace and have a happy pregnancy, without stress, always remember knowledge conquers all fear, so know the facts and then life is good, fear comes from ignorance.

Go Well and keep us all informed.

Best Regards

Martinc

Hi Ali'e, I read your post and must advise that it is not good to quote statistics, when you are not sure of their accuracy.

The risks associated with aneurysms below 10mm is 0.05% and that is minuscule as opposed to what you quote at 10% please be careful when quoting % as people will take your quote at face value, despite it being miles from being accurate.

Please look at the link which is an authoritive study and gives the facts!http://www.nejm.org/doi/full/10.1056/NEJM199812103392401

I appreciate that comments are always well meant, but as I have said in many previous posts, all of us on this site need to deal in facts as often our comments can be misunderstood.
kind Regards

Martinc

Martin, nice article. Well studied well written, enough patients to make sound theory, I like those the best. Good to know both groups information, helps us,I think.

Regards,

Moltroub


Martin,

I so appreciate your comments. Thanks for the link to the article, it was a good one. I'm well aware that comments on here should be taken as experience from survivors, and not medical fact. It is helping me to compile a list of questions for my doctors.

I think the moderating on this site is fantastic, and I'm very thankful for you guys.

: )


MartinC said:

Hi Again, Please see my reply to a post made by Ali'e below, whilst It is well intentioned, the mention of risk at 10% is wildly inaccurate!

I attach for your attention a link to probably the most authorative study carried out on un-ruptured brain aneurysms for you to look at and understand the issue of Risk, Size and location.

The link is as follows: http://www.nejm.org/doi/full/10.1056/NEJM199812103392401

As I said in my previous post to you earlier today, comments are what they are and no more than comments, all are well intentioned, however now and then some can be misconstrued in terms of accuracy.

As I said earlier, consult with your medical team and make sure that they are all on the same page and clearly understand your situation!

Do that and you will be at peace and have a happy pregnancy, without stress, always remember knowledge conquers all fear, so know the facts and then life is good, fear comes from ignorance.

Go Well and keep us all informed.

Best Regards

Martinc

Hi Ali'e, I read your post and must advise that it is not good to quote statistics, when you are not sure of their accuracy.

The risks associated with aneurysms below 10mm is 0.05% and that is minuscule as opposed to what you quote at 10% please be careful when quoting % as people will take your quote at face value, despite it being miles from being accurate.

Please look at the link which is an authoritive study and gives the facts!http://www.nejm.org/doi/full/10.1056/NEJM199812103392401

I appreciate that comments are always well meant, but as I have said in many previous posts, all of us on this site need to deal in facts as often our comments can be misunderstood.
kind Regards

Martinc

Dear CWMama, I have read a so many of the responses to you. I am in the medical field however because I have had treatment for two aneurysms and am on a watch and wait for the third I realize that this is not my area of specialty and there are new treatment and new statistics all the time. I believe that having the information is life saving; for you and for your children. It is hard to wait and your answers will come when you see the neurosurgeon and perinatologist. This support group is to provide you with hope and to let you see that we have survived. I wish you all the best. Please keep us posted; every case is individual and your doctors will tell you what is best for you. We are here to help emotionally support you. I was so thankful for this website even though I had a lot of my doctor friends doing research for me; it was this site that made me hopeful. Warmest Regards, Chris

Praying all goes well. I have unruptured aneurysm also could not clip or coil mine but trusting God with it all!

I was diagnosed with both an AVM rupture and unruptured aneurysm during my early third trimester. They operated on the AVM and left the aneurysm alone. I'm assuming that the aneurysm was there since I got pregnant but I don't really know. Studies indicate no compelling risks of rupture during pregnancy. Yours is very small. I delivered my son at term via c-section and I'm still kicking around 1.5 years later. I pray it stays that way. I know there are differing opinions but I recommend a c-section. It reduced my stress about straining. Studies also indicate that vaginal delivery is totally reasonable. I only recommend c-secton if you are a big worrier like I am :) Best of luck! I think you are going to be fine. Just find someone that will watch your blood pressure closely and have regular check ups.