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dc.contributor.authorNeville, Grace
dc.contributor.authorKaliaperumal, Chandrasekaran
dc.contributor.authorKaar, George
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.
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
html.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.


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