| Decompressive craniectomy in a neurologically devastated pregnant woman to maintain fetal viability. | |
| | |
MedLine Citation:
|
PMID: 22196099 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Severe traumatic brain injury (TBI) in pregnant women can result in devastating outcomes for both the mother and the fetus. Historically, there has been concern regarding the issues involved when the fetus is not yet viable outside the womb. Currently, the ability to treat severe TBI with aggressive management of intracranial pressure (ICP) has led to the possibility of sustaining maternal life until the fetus is of a viable age and can be delivered. The authors present the case of a young woman 21 weeks pregnant with a severe TBI (Glasgow Coma Scale Score 3) in whom safe medical ICP management became ineffective. A decompressive craniectomy was performed to obviate the need for aggressive medical management of elevated ICP using fetal-toxic medications, and thus providing the fetus the best chance of continued in utero development until a viable gestational age was reached. |
| | |
Authors:
|
Nathaniel Whitney; Ahmed M Raslan; Brian T Ragel |
Related Documents
:
|
8827539 - National trends in the use of stimulant medication for attention deficit hyperactivity ... 21801449 - Population based estimates of non-fatal injuries in the capital of iran. 7799979 - New perspectives on neonatal hyperbilirubinemia. 21785849 - Medication neurotoxicity in children. 21838929 - Medication prescribing errors in a pediatric inpatient tertiary care setting in saudi a... 15152909 - Negotiate contracts carefully with part-time doctors. 8542049 - The spiritual history. 21386749 - Patient safety in the context of neonatal intensive care: research and educational oppo... 1615779 - Elderly patients and their medication: a post-discharge follow-up study. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-12-23 |
Journal Detail:
|
Title: Journal of neurosurgery Volume: - ISSN: 1933-0693 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
|
Created Date: 2011-12-26 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Consistent focal cerebral ischemia without posterior cerebral artery occlusion and its real-time mon...
Next Document: Tentorial detachment technique in the combined petrosal approach for petroclival meningiomas.