'Miracle baby': an outcome of multidisciplinary approach to neurotrauma in pregnancy.
dc.contributor.author | Neville, Grace | |
dc.contributor.author | Kaliaperumal, Chandrasekaran | |
dc.contributor.author | Kaar, George | |
dc.date.accessioned | 2014-01-20T16:59:32Z | |
dc.date.available | 2014-01-20T16:59:32Z | |
dc.date.issued | 2012 | |
dc.identifier.citation | 'Miracle baby': an outcome of multidisciplinary approach to neurotrauma in pregnancy. 2012, 2012: BMJ Case Rep | en_GB |
dc.identifier.issn | 1757-790X | |
dc.identifier.pmid | 22805738 | |
dc.identifier.doi | 10.1136/bcr-2012-006477 | |
dc.identifier.uri | http://hdl.handle.net/10147/311633 | |
dc.description.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. | |
dc.language.iso | en | en |
dc.rights | Archived with thanks to BMJ case reports | en_GB |
dc.subject | BRAIN INJURY | en_GB |
dc.subject | PREGNANT WOMEN | en_GB |
dc.subject | EMERGENCY MEDICAL CARE | en_GB |
dc.subject | INFANT | en_GB |
dc.subject.mesh | Accidents, Traffic | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Brain Injuries | |
dc.subject.mesh | Cesarean Section | |
dc.subject.mesh | Cognition Disorders | |
dc.subject.mesh | Craniotomy | |
dc.subject.mesh | Decompression, Surgical | |
dc.subject.mesh | Female | |
dc.subject.mesh | Glasgow Coma Scale | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Infant, Newborn | |
dc.subject.mesh | Intensive Care | |
dc.subject.mesh | Male | |
dc.subject.mesh | Patient Care Team | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Tomography, X-Ray Computed | |
dc.subject.mesh | Treatment Outcome | |
dc.title | 'Miracle baby': an outcome of multidisciplinary approach to neurotrauma in pregnancy. | en_GB |
dc.type | Article | en |
dc.identifier.journal | BMJ case reports | en_GB |
dc.description.funding | No funding | en |
dc.description.province | Munster | en |
dc.description.peer-review | peer-review | en |
html.description.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. |