血性髄液を契機にくも膜下出血と診断され帝王切開後に血管内治療を行い救命できた1症例

A Case of Pregnant Woman Diagnosed with Subarachnoid Hemorrhage Triggered by the Observation of Bloody Cerebrospinal Fluid and Treated with Endovascular Therapy after Caesarean Section to Save the Lives of Both Mother and Fetus

要旨

　脊髄くも膜下麻酔における血性髄液を契機にくも膜下出血（subarachnoid hemorrhage：SAH）と診断された妊婦に対し，帝王切開（caesarean section：CS）後に血管内治療を行い母児ともに救命できた症例を経験した。妊娠高血圧症のCSにおいて，頭痛は子癇の前駆症状であると解釈されることが多いが，同時に複数回の血性髄液に直面した場合はSAHを念頭に置く必要がある。

　We experienced a case of a pregnant woman diagnosed with subarachnoid hemorrhage（SAH）due to the presence of bloody cerebrospinal fluid（CSF）during spinal anesthesia, in which both mother and child were saved by caesarean section（CS）following endovascular treatment（ET）. In CS for hypertensive disorders of pregnancy, headache is generally interpreted as a prodrome of eclampsia, but SAH should be kept in mind when faced with multiple bloody CSF at the same time.