Decompressive Craniectomy During Pregnancy

A 39-year-old woman in the 24th week of pregnancy who suffered a right malignant MCA infarction that eventually required DC. The patient delivered a healthy baby and underwent a second surgery for cranioplasty 7 months later. 1).


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3: Sastry R, Sufianov R, Laviv Y, Young BC, Rojas R, Bhadelia R, Boone MD, Kasper EM. Chiari I malformation and pregnancy: a comprehensive review of the literature to address common questions and to guide management. Acta Neurochir (Wien). 2020 Jul;162(7):1565-1573. doi: 10.1007/s00701-020-04308-7. Epub 2020 Apr 18. PMID: 32306160.

4: Polster SP, Lyne SB, Mansour A. Case Demonstrating the Nuances of Acute Cortical Venous Thrombosis Anticoagulation Guidelines. World Neurosurg. 2020 Jul;139:215-218. doi: 10.1016/j.wneu.2020.03.220. Epub 2020 Apr 15. PMID: 32304887.

5: Oh MK, Ryu JH, Jeon WJ, Lee CW, Cho SY. Case report: postpartum cerebral venous thrombosis misdiagnosed as postdural puncture headache. BMC Anesthesiol. 2020 Apr 7;20(1):80. doi: 10.1186/s12871-020-00992-1. PMID: 32264827; PMCID: PMC7137279.

6: Moon JS, Cha SH, Cho WH. Lateral Ventricular Meningioma Presenting with Intraventricular Hemorrhage. Brain Tumor Res Treat. 2019 Oct;7(2):151-155. doi: 10.14791/btrt.2019.7.e41. PMID: 31686448; PMCID: PMC6829083.

7: Cossu G, Daniel RT, Hottinger AF, Maduri R, Messerer M. Malignant PRES and RCVS after brain surgery in the early postpartum period. Clin Neurol Neurosurg. 2019 Oct;185:105489. doi: 10.1016/j.clineuro.2019.105489. Epub 2019 Aug 14. PMID: 31470358.

8: Sadegh Masoudi M, Zafarshamspour S, Ghasemi-Rad M, Soleimani N, Rakhsha A, Lincoln C. Acute Subdural Hemorrhage of a Convexity Meningioma in the Postpartum Period; Case Report and Literature Review. Bull Emerg Trauma. 2019 Jul;7(3):324-329. doi: 10.29252/beat-0703018. PMID: 31392235; PMCID: PMC6681878.

9: Gioti I, Faropoulos K, Picolas C, Lambrou MA. Decompressive craniectomy in cerebral venous sinus thrombosis during pregnancy: a case report. Acta Neurochir (Wien). 2019 Jul;161(7):1349-1352. doi: 10.1007/s00701-019-03921-5. Epub 2019 May 8. PMID: 31069531.

10: Katsevman GA, Turner RC, Cheyuo C, Rosen CL, Smith MS. Post-partum posterior reversible encephalopathy syndrome requiring decompressive craniectomy: case report and review of the literature. Acta Neurochir (Wien). 2019 Feb;161(2):217-224. doi: 10.1007/s00701-019-03798-4. Epub 2019 Jan 18. PMID: 30659351.

11: Han KH, Won YD, Na MK, Han MH, Ryu JI, Kim JM, Kim CH, Cheong JH. Postpartum Superior Sagittal Sinus Thrombosis: A Case Report. Korean J Neurotrauma. 2018 Oct;14(2):146-149. doi: 10.13004/kjnt.2018.14.2.146. Epub 2018 Oct 31. PMID: 30402435; PMCID: PMC6218358.

12: MacMillan DS. Intracerebral Hemorrhage with Herniation in a Second-Trimester Pregnant Female. Air Med J. 2018 May-Jun;37(3):203-205. doi: 10.1016/j.amj.2017.12.005. Epub 2018 Feb 15. PMID: 29735234.

13: Picetti E, Caspani ML, Iaccarino C, Pastorello G, Salsi P, Viaroli E, Servadei F. Intracranial pressure monitoring after primary decompressive craniectomy in traumatic brain injury: a clinical study. Acta Neurochir (Wien). 2017 Apr;159(4):615-622. doi: 10.1007/s00701-017-3118-z. Epub 2017 Feb 24. PMID: 28236181.

14: Yamashiro S, Hitoshi Y, Yoshida A, Kuratsu J. Effectiveness of Endoscopic Surgery for Comatose Patients with Large Supratentorial Intracerebral Hemorrhages. Neurol Med Chir (Tokyo). 2015;55(11):819-23. doi: 10.2176/nmc.oa.2014-0136. Epub 2015 Sep 11. PMID: 26369719; PMCID: PMC4663019.

15: Castro-Castro J, Figueiredo-González O, Río-Gómez A, Carballo-Loureiro N, Castro-Bouzas D. Tumor cerebral no conocido que se presenta con compresión del tronco cerebral tras punción dural accidental [Unknown intracerebral tumour presenting as brainstem compression following unintentional dural puncture]. Rev Esp Anestesiol Reanim. 2014 Aug-Sep;61(7):392-5. Spanish. doi: 10.1016/j.redar.2013.06.012. Epub 2013 Sep 14. PMID: 24041454.

16: Dawar P, Kalra A, Agrawal D, Sharma BS. Decompressive craniectomy in term pregnancy with combined cesarean section for traumatic brain injury. Neurol India. 2013 Jul-Aug;61(4):423-5. doi: 10.4103/0028-3886.117588. PMID: 24005739.

17: Monsalve-Mejía G, Palacio W, Rodríguez C. Cesárea urgente y craneotomía en una paciente con rotura de una malformación arteriovenosa cerebral [Emergency cesarean section and craniectomy in a patient with rupture of a cerebral arteriovenous malformation]. Rev Esp Anestesiol Reanim. 2014 Apr;61(4):209-13. Spanish. doi: 10.1016/j.redar.2013.03.004. Epub 2013 May 9. PMID: 23664062.

18: Neville G, Kaliaperumal C, Kaar G. 'Miracle baby': an outcome of multidisciplinary approach to neurotrauma in pregnancy. BMJ Case Rep. 2012 Jul 17;2012:bcr2012006477. doi: 10.1136/bcr-2012-006477. PMID: 22805738; PMCID: PMC4544447.

19: Whitney N, Raslan AM, Ragel BT. Decompressive craniectomy in a neurologically devastated pregnant woman to maintain fetal viability. J Neurosurg. 2012 Mar;116(3):487-90. doi: 10.3171/2011.11.JNS11707. Epub 2011 Dec 23. PMID: 22196099.

20: Shafiee MN, Ismail NM, Shan LP, Kampan N, Omar MH, Dali HM. A case report: metastatic choriocarcinoma to the gum. Sex Reprod Healthc. 2011 Apr;2(2):91-2. doi: 10.1016/j.srhc.2011.02.001. Epub 2011 Feb 20. PMID: 21439527.

21: Ruiz-Sandoval JL, Chiquete E, Bañuelos-Becerra LJ, Torres-Anguiano C, González-Padilla C, Arauz A, León-Jiménez C, Murillo-Bonilla LM, Villarreal- Careaga J, Barinagarrementería F, Cantú-Brito C; RENAMEVASC investigators. Cerebral venous thrombosis in a Mexican multicenter registry of acute cerebrovascular disease: the RENAMEVASC study. J Stroke Cerebrovasc Dis. 2012 Jul;21(5):395-400. doi: 10.1016/j.jstrokecerebrovasdis.2011.01.001. Epub 2011 Mar 2. PMID: 21367622.

22: Ebke M, Jürgens KU, Tomandl B, Merten U, Kastrup A. Surgical treatment of space occupying edema and hemorrhage due to cerebral venous thrombosis during pregnancy. Neurocrit Care. 2011 Aug;15(1):166-9. doi: 10.1007/s12028-010-9389-3. PMID: 20524080.

23: Lin HS, Lin JF, Chang CK, Tsai CC, Chen SJ. Cerebral sinus thrombosis with intracerebral hemorrhage in pregnancy: a case report. Acta Neurol Taiwan. 2008 Sep;17(3):189-93. PMID: 18975526.

24: Tan HJ, Rabani R, Noorfaizan S. Infective endocarditis in pregnancy complicated by septic embolization to the cerebellum. Med J Malaysia. 2007 Aug;62(3):249-50. PMID: 18246919.


1)
Fernández García A, Jiménez Zapata HD, de Lera Alfonso MC, Sánchez Fernández C, Jiménez Arribas P, Rodríguez Arias CA. Decompressive Craniectomy in Pregnant Women. J Neurol Surg A Cent Eur Neurosurg. 2021 Jun 2. doi: 10.1055/s-0041-1726108. Epub ahead of print. PMID: 34077979.
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