'Miracle baby': an outcome of multidisciplinary approach to neurotrauma in pregnancy.

Hdl Handle:
http://hdl.handle.net/10147/311633
Title:
'Miracle baby': an outcome of multidisciplinary approach to neurotrauma in pregnancy.
Authors:
Neville, Grace; Kaliaperumal, Chandrasekaran; Kaar, George
Citation:
'Miracle baby': an outcome of multidisciplinary approach to neurotrauma in pregnancy. 2012, 2012: BMJ Case Rep
Journal:
BMJ case reports
Issue Date:
2012
URI:
http://hdl.handle.net/10147/311633
DOI:
10.1136/bcr-2012-006477
PubMed ID:
22805738
Abstract:
Traumatic brain injury (TBI) warranting neurosurgical intervention in the pregnant population is a rarity. We describe a case of a 27-year-old woman who at 13 weeks of gestation presented with multiple traumas having been involved in a near fatal road traffic accident. Glasgow Coma Scale was 6/15. CT brain showed extensive haemorrhagic contusions, diffuse brain swelling and multiple skull and facial fractures. Decompressive craniectomy was performed to control her intracranial pressure during her management in the intensive care. A viable intrauterine pregnancy was confirmed and progressed as maternal stabilisation and rehabilitation continued. At 35+3 weeks a 2770 g male child was delivered via emergency caesarean section after spontaneous onset of labour. The child had no detectable abnormalities and is clinically well. Eight months post-TBI the patient continues to make gradual improvements but is left with severe cognitive impairment and currently undergoing rehabilitation. A multidisciplinary approach was adopted in the management of this patient.
Item Type:
Article
Language:
en
Keywords:
BRAIN INJURY; PREGNANT WOMEN; EMERGENCY MEDICAL CARE; INFANT
MeSH:
Accidents, Traffic; Adult; Brain Injuries; Cesarean Section; Cognition Disorders; Craniotomy; Decompression, Surgical; Female; Glasgow Coma Scale; Humans; Infant, Newborn; Intensive Care; Male; Patient Care Team; Pregnancy; Tomography, X-Ray Computed; Treatment Outcome
ISSN:
1757-790X

Full metadata record

DC FieldValue Language
dc.contributor.authorNeville, Graceen_GB
dc.contributor.authorKaliaperumal, Chandrasekaranen_GB
dc.contributor.authorKaar, Georgeen_GB
dc.date.accessioned2014-01-20T16:59:32Z-
dc.date.available2014-01-20T16:59:32Z-
dc.date.issued2012-
dc.identifier.citation'Miracle baby': an outcome of multidisciplinary approach to neurotrauma in pregnancy. 2012, 2012: BMJ Case Repen_GB
dc.identifier.issn1757-790X-
dc.identifier.pmid22805738-
dc.identifier.doi10.1136/bcr-2012-006477-
dc.identifier.urihttp://hdl.handle.net/10147/311633-
dc.description.abstractTraumatic brain injury (TBI) warranting neurosurgical intervention in the pregnant population is a rarity. We describe a case of a 27-year-old woman who at 13 weeks of gestation presented with multiple traumas having been involved in a near fatal road traffic accident. Glasgow Coma Scale was 6/15. CT brain showed extensive haemorrhagic contusions, diffuse brain swelling and multiple skull and facial fractures. Decompressive craniectomy was performed to control her intracranial pressure during her management in the intensive care. A viable intrauterine pregnancy was confirmed and progressed as maternal stabilisation and rehabilitation continued. At 35+3 weeks a 2770 g male child was delivered via emergency caesarean section after spontaneous onset of labour. The child had no detectable abnormalities and is clinically well. Eight months post-TBI the patient continues to make gradual improvements but is left with severe cognitive impairment and currently undergoing rehabilitation. A multidisciplinary approach was adopted in the management of this patient.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to BMJ case reportsen_GB
dc.subjectBRAIN INJURYen_GB
dc.subjectPREGNANT WOMENen_GB
dc.subjectEMERGENCY MEDICAL CAREen_GB
dc.subjectINFANTen_GB
dc.subject.meshAccidents, Traffic-
dc.subject.meshAdult-
dc.subject.meshBrain Injuries-
dc.subject.meshCesarean Section-
dc.subject.meshCognition Disorders-
dc.subject.meshCraniotomy-
dc.subject.meshDecompression, Surgical-
dc.subject.meshFemale-
dc.subject.meshGlasgow Coma Scale-
dc.subject.meshHumans-
dc.subject.meshInfant, Newborn-
dc.subject.meshIntensive Care-
dc.subject.meshMale-
dc.subject.meshPatient Care Team-
dc.subject.meshPregnancy-
dc.subject.meshTomography, X-Ray Computed-
dc.subject.meshTreatment Outcome-
dc.title'Miracle baby': an outcome of multidisciplinary approach to neurotrauma in pregnancy.en_GB
dc.typeArticleen
dc.identifier.journalBMJ case reportsen_GB
dc.description.fundingNo fundingen
dc.description.provinceMunsteren
dc.description.peer-reviewpeer-reviewen

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.