Fatal intracranial hemorrhage and subacute bacterial endocarditis in pregnancy: case report and literature review

Fatal intracranial haemorrhage due to mycotic aneurysm of the middle cerebral artery during the eighth month of pregnancy is an uncommon complication of subacute bacterial endocarditis. Early neurological symptoms and signs are often overlooked or if present are considered as "expected to occur" in pregnancy. The subtle clinical features do not get the kind of attention they deserve until maternal catastrophy follows. Delay in the obstetric management in such situations may lead to foetal death as well. One such case is presented to generate greater awareness in the management of pregnancy complicated by an acute neurological emergency such as bleeding mycotic aneurysm