{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T05:50:38Z","timestamp":1771653038281,"version":"3.50.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,8]]},"DOI":"10.7759\/cureus.53822","type":"journal-article","created":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T09:41:35Z","timestamp":1707385295000},"source":"Crossref","is-referenced-by-count":1,"title":["A Case Report of Spontaneous Vaginal Delivery Under General Anesthesia in a Patient With a Large Cerebral Aneurysm"],"prefix":"10.7759","author":[{"given":"Gregory W","family":"Kirschen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Brown","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joy","family":"Davis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J","family":"Berman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timour","family":"Al-Khindi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Caplan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon M","family":"Osborne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","article-title":"Aneurysmal subarachnoid haemorrhage in pregnancy: a case series","volume":"2","author":"Guida M","year":"2012","unstructured":"Guida M, Altieri R, Palatucci V, et al.. Aneurysmal subarachnoid haemorrhage in pregnancy: a case series. Transl Med UniSa. 2012, 2:59-63.","journal-title":"Transl Med UniSa"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.08.048","article-title":"A systematic review of intracranial aneurysms in the pregnant patient - a clinical conundrum","volume":"254","author":"Nussbaum ES","year":"2020","unstructured":"Nussbaum ES, Goddard JK, Davis AR. A systematic review of intracranial aneurysms in the pregnant patient - a clinical conundrum. Eur J Obstet Gynecol Reprod Biol. 2020, 254:79-86. 10.1016\/j.ejogrb.2020.08.048","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-818417-2.00007-5","article-title":"Cardiovascular alterations in normal and preeclamptic pregnancy","author":"Shroff SG","year":"2022","unstructured":"Shroff SG, Hauspurg A, Hibbard JU, et al.. Cardiovascular alterations in normal and preeclamptic pregnancy. Chesley\u2019s Hypertensive Disorders in Pregnancy. Academic Press, London; 2022. 219-44. 10.1016\/B978-0-12-818417-2.00007-5"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s12967-018-1641-1","article-title":"China Intracranial Aneurysm Project (CIAP): protocol for a registry study on a multidimensional prediction model for rupture risk of unruptured intracranial aneurysms","volume":"16","author":"Chen J","year":"2018","unstructured":"Chen J, Liu J, Zhang Y, et al.. China Intracranial Aneurysm Project (CIAP): protocol for a registry study on a multidimensional prediction model for rupture risk of unruptured intracranial aneurysms. J Transl Med. 2018, 16:263. 10.1186\/s12967-018-1641-1","journal-title":"J Transl Med"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-199601000-00011","article-title":"Aneurysmal subarachnoid hemorrhage associated with weight training: three case reports","volume":"6","author":"Haykowsky MJ","year":"1996","unstructured":"Haykowsky MJ, Findlay JM, Ignaszewski AP. Aneurysmal subarachnoid hemorrhage associated with weight training: three case reports. Clin J Sport Med. 1996, 6:52-5. 10.1097\/00042752-199601000-00011","journal-title":"Clin J Sport Med"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-444-64239-4.00010-2","article-title":"Neuro-anesthesiology in pregnancy","volume":"171","author":"Bernstein K","year":"2020","unstructured":"Bernstein K, Hussey H, Hussey P, Gordo K, Landau R. Neuro-anesthesiology in pregnancy. Handb Clin Neurol. 2020, 171:193-204. 10.1016\/B978-0-444-64239-4.00010-2","journal-title":"Handb Clin Neurol"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.4274\/tjod.galenos.2019.23080","article-title":"Rupture of cerebral aneurysm during pregnancy: a case report","volume":"16","author":"Onat T","year":"2019","unstructured":"Onat T, Daltaban \u0130S, Tan\u0131n \u00d6\u015e, Kara M. Rupture of cerebral aneurysm during pregnancy: a case report. Turk J Obstet Gynecol. 2019, 16:136-9. 10.4274\/tjod.galenos.2019.23080","journal-title":"Turk J Obstet Gynecol"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0146-0005(00)80047-6","article-title":"Hemodynamic changes in pregnancy","volume":"24","author":"Thornburg KL","year":"2000","unstructured":"Thornburg KL, Jacobson SL, Giraud GD, Morton MJ. Hemodynamic changes in pregnancy. Semin Perinatol. 2000, 24:11-14. 10.1016\/S0146-0005(00)80047-6","journal-title":"Semin Perinatol"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.05.031","article-title":"Maternal cerebral blood flow during normal pregnancy: a cross-sectional study","volume":"203","author":"Nevo O","year":"2010","unstructured":"Nevo O, Soustiel JF, Thaler I. Maternal cerebral blood flow during normal pregnancy: a cross-sectional study. Am J Obstet Gynecol. 2010, 203:475.e1-6. 10.1016\/j.ajog.2010.05.031","journal-title":"Am J Obstet Gynecol"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.26.8.1386","article-title":"Effects of the valsalva maneuver on cerebral circulation in healthy adults. A transcranial Doppler study","volume":"26","author":"Tiecks FP","year":"1995","unstructured":"Tiecks FP, Lam AM, Matta BF, Strebel S, Douville C, Newell DW. Effects of the valsalva maneuver on cerebral circulation in healthy adults. A transcranial Doppler study. Stroke. 1995, 26:1386-92. 10.1161\/01.str.26.8.1386","journal-title":"Stroke"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/00008506-199407000-00007","article-title":"Ketamine directly dilates bovine cerebral arteries by acting as a calcium entry blocker","volume":"6","author":"Wendling WW","year":"1994","unstructured":"Wendling WW, Daniels FB, Chen D, Harakal C, Carlsson C. Ketamine directly dilates bovine cerebral arteries by acting as a calcium entry blocker. J Neurosurg Anesthesiol. 1994, 6:186-92. 10.1097\/00008506-199407000-00007","journal-title":"J Neurosurg Anesthesiol"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-982505","article-title":"Intracranial pressure changes during Valsalva manoeuvre in patients undergoing a neuroendoscopic procedure","volume":"50","author":"Prabhakar H","year":"2007","unstructured":"Prabhakar H, Bithal PK, Suri A, Rath GP, Dash HH. Intracranial pressure changes during Valsalva manoeuvre in patients undergoing a neuroendoscopic procedure. Minim Invasive Neurosurg. 2007, 50:98-101. 10.1055\/s-2007-982505","journal-title":"Minim Invasive Neurosurg"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1152\/ajplegacy.1944.141.1.42","article-title":"Arterial, cerebrospinal and venous pressures in man during cough and strain","author":"Hamilton WF","year":"1944","unstructured":"Hamilton WF, Woodbury RA, Harper HT. Arterial, cerebrospinal and venous pressures in man during cough and strain. J Physiol. 1944, 10.1152\/ajplegacy.1944.141.1.42","journal-title":"J Physiol"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/S0008-4182(05)80100-0","article-title":"Frequency and amplitude of elevation of cerebrospinal fluid resting pressure by the Valsalva maneuver","volume":"40","author":"Neville L","year":"2005","unstructured":"Neville L, Egan RA. Frequency and amplitude of elevation of cerebrospinal fluid resting pressure by the Valsalva maneuver. Can J Ophthalmol. 2005, 40:775-7. 10.1016\/S0008-4182(05)80100-0","journal-title":"Can J Ophthalmol"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1999.14060393.x","article-title":"Evaluation of cerebral perfusion pressure changes in laboring women: effects of epidural anesthesia","volume":"14","author":"Williams KP","year":"1999","unstructured":"Williams KP, Wilson S. Evaluation of cerebral perfusion pressure changes in laboring women: effects of epidural anesthesia. Ultrasound Obstet Gynecol. 1999, 14:393-6. 10.1046\/j.1469-0705.1999.14060393.x","journal-title":"Ultrasound Obstet Gynecol"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1097\/IJG.0000000000000559","article-title":"The effect of labor on the intraocular pressure in healthy women","volume":"26","author":"Meshi A","year":"2017","unstructured":"Meshi A, Armarnik S, Mimouni M, et al.. The effect of labor on the intraocular pressure in healthy women. J Glaucoma. 2017, 26:59-64. 10.1097\/IJG.0000000000000559","journal-title":"J Glaucoma"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e3182796af9","article-title":"Cerebral aneurysms in pregnancy and delivery: pregnancy and delivery do not increase the risk of aneurysm rupture","volume":"72","author":"Kim YW","year":"2013","unstructured":"Kim YW, Neal D, Hoh BL. Cerebral aneurysms in pregnancy and delivery: pregnancy and delivery do not increase the risk of aneurysm rupture. Neurosurgery. 2013, 72:143-9; discussion 150. 10.1227\/NEU.0b013e3182796af9","journal-title":"Neurosurgery"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.29.1.251","article-title":"Prevalence and risk of rupture of intracranial aneurysms: a systematic review","volume":"29","author":"Rinkel GJ","year":"1998","unstructured":"Rinkel GJ, Djibuti M, Algra A, van Gijn J. Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke. 1998, 29:251-6. 10.1161\/01.str.29.1.251","journal-title":"Stroke"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2016.1262345","article-title":"Impact of pregnancy on the size of small cerebral aneurysm","volume":"30","author":"Tanaka H","year":"2017","unstructured":"Tanaka H, Katsuragi S, Tanaka K, Iwanaga N, Yoshimatsu J, Takahashi JC, Ikeda T. Impact of pregnancy on the size of small cerebral aneurysm. J Matern Fetal Neonatal Med. 2017, 30:2759-62. 10.1080\/14767058.2016.1262345","journal-title":"J Matern Fetal Neonatal Med"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2006.09.001","article-title":"Circumstances, activities, and events precipitating aneurysmal subarachnoid hemorrhage","volume":"16","author":"Matsuda M","year":"2007","unstructured":"Matsuda M, Watanabe K, Saito A, Matsumura K, Ichikawa M. Circumstances, activities, and events precipitating aneurysmal subarachnoid hemorrhage. J Stroke Cerebrovasc Dis. 2007, 16:25-9. 10.1016\/j.jstrokecerebrovasdis.2006.09.001","journal-title":"J Stroke Cerebrovasc Dis"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/229666-a-case-report-of-spontaneous-vaginal-delivery-under-general-anesthesia-in-a-patient-with-a-large-cerebral-aneurysm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T19:19:05Z","timestamp":1707506345000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/229666-a-case-report-of-spontaneous-vaginal-delivery-under-general-anesthesia-in-a-patient-with-a-large-cerebral-aneurysm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,8]]},"references-count":20,"URL":"https:\/\/doi.org\/10.7759\/cureus.53822","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2024,2,8]]}}}