Document Detail


The association between developmental handicaps and traumatic brain injury during pregnancy: an issue that deserves more systematic evaluation.
MedLine Citation:
PMID:  17378227     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: Trauma during pregnancy is commonly viewed as benign for the foetus when the delivery occurs normally. This study revisits that point of view. METHOD: We included eighteen patients having a neurological handicap with an anamnesis of an accident during pregnancy and a follow-up sufficient to determine a definite outcome. RESULTS: Pregnancy outcome and observed management. Foetal abnormalities were detected in six cases between the first and the thirteenth day after the trauma. Emergency delivery or rapid birth after signs of foetal distress occurred in five cases. One baby died soon after birth. One-third of cases were not submitted to any investigation. VARIOUS NEUROLOGICAL HANDICAPS WERE RECORDED: Congenital microcephaly (three patients), congenital hydrocephalus (three), Infantile cerebral hemiplegy (six), quadriplegy with severe encephalopathy (four), diplegy (one), clumsiness with cerebellar atrophy (one), Moebius syndrome (one), mental retardation with autistic features (two), learning disability (one) auditory agnosia (one). Cerebral imaging showed macroscopic abnormalities in fourteen patients, evoking various pathogenetic hypotheses. CONCLUSION: The association between maternal trauma and foetal brain lesions lacks sufficient investigation in many cases. Prospective studies are needed to clarify both medical and legal issues. Guidelines are proposed for obstetrical and paediatric management after significant maternal trauma.
Authors:
V Leroy-Malherbe; C Bonnier; E Papiernik; E Groos; P Landrieu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Brain injury : [BI]     Volume:  20     ISSN:  0269-9052     ISO Abbreviation:  Brain Inj     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2007-03-23     Completed Date:  2007-11-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  England    
Other Details:
Languages:  eng     Pagination:  1355-65     Citation Subset:  IM    
Affiliation:
Service de Neurologie Pédiatrique, CHU KREMLIN-BICETRE, LE KREMLIN-BICETRE 94275, France.
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MeSH Terms
Descriptor/Qualifier:
Accidents
Craniocerebral Trauma / etiology,  pathology,  psychology*
Developmental Disabilities / etiology*
Female
Fetal Distress / etiology
Follow-Up Studies
Glasgow Outcome Scale
Hemiplegia / embryology
Humans
Hydrocephalus / embryology
Infant, Newborn
Magnetic Resonance Imaging
Microcephaly / embryology
Pregnancy
Pregnancy Complications*
Pregnancy Outcome
Prenatal Exposure Delayed Effects*
Prenatal Injuries / pathology,  psychology*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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