CASE REPORT
Year : 2015  |  Volume : 9  |  Issue : 2  |  Page : 207-210

Simultaneous cesarean delivery and craniotomy in a term pregnant patient with traumatic brain injury


1 Department of Anesthesia and Surgical Intensive Care, Mansoura University Hospitals, Mansoura, Daqahlia, Egypt
2 Department of Obstetrics and Gynecology, Mansoura University Hospitals, Mansoura, Daqahlia, Egypt

Correspondence Address:
Dr. Mohamed Mohamed Tawfik
26, Elgomhoria Street, Mansoura
Egypt
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Source of Support: Mansoura University Hospitals, Mansoura Faculty of Medicine, Mansoura, Egypt,, Conflict of Interest: None


DOI: 10.4103/1658-354X.152890

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The management of pregnant patients with traumatic brain injury is challenging. A multidisciplinary team approach is mandatory, and management should be individualized according to the type and extent of injury, maternal status, gestational age, and fetal status. We report a 27-year-old term primigravida presenting after head injury with Glasgow coma scale score 11 and anisocoria. Depressed temporal bone fracture and acute epidural hematoma were diagnosed, necessitating an urgent neurosurgery. Her fetus was viable with no signs of distress and no detected placental abnormalities. Cesarean delivery was performed followed by craniotomy in the same setting under general anesthesia with good outcome of the patient and her baby.


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