SURGICAL TREATMENT OF INTRACEREBRAL HEMORRHAGE IN PREGNANT WOMEN
The emergence of urgent neurosurgical conditions in pregnant women is a complex multidisciplinary problem which decision requires participation of experts of several adjacent specialties.
Objective: to show the possibility of surgical treatment of non-traumatic intracerebral hematomas (NICH) in case of women in late terms of pregnancy.
Research methods: there were two women in the late terms of pregnancy with NISG in office of neurosurgery of the Medical center of the State medical university of the Semey city were operated. One of these supervision is given. The woman with pregnancy 31 weeks, after 7 hours from the disease beginning in a serious condition with level of consciousness of 8 points on the Glasgow’ coma scale, with a hemiplegia at the left and with a meningeal syndrome arrived. The vital violations are not detected; heartbeat of the prenatal child was distinct. CT of a brain revealed a subcortical hematoma in the right frontal-parietal area, with a volume more than 80 ml. One hour after admission made open (craniotomy, encephalotomy) removal of intracerebral hematoma.
Results: The operations of removal of NICH allowed to keep life to women, to provide pregnancy and the birth of viable children.
Conclusion: The emergence of urgent neurosurgical pathology at the pregnant woman isn't fatal. Timely removal NICH during pregnancy enables saving a woman's life.
R. Sh. Ishmukhametov 1, T. V. Kaimak 2, N. T. Sabyrbaeva 2
1 Medical Centr of Semey State medical university, Kazakhstan
2 Semey State medical university, Kazakhstan
1. Акшулаков С. К., Рыскельдиев Н. А., Оленбай Г. И., Ауэзова Р. Ж., Нурпеисов А. З., Нурдинов М. А., Жумадильдина А. Ж., Доскалиев А. Ж. Анапластическая эпендимома IV желудочка с прорастанием в ствол головного мозга во время беременности с благоприятным исходом. // Нейрохирургия и неврология Казахстана. №1 (30). 2013. С. 36-40
2. Ишмухаметов Р. Ш. Опыт хирурги-ческого лечения нетравматических внутримоз-говых гематом. // Нейрохирургия и неврология Казахстана. №1 (34). 2014. С. 7-11
3. Крылов В. В., Дашьян В. Г., Буров С. А., Петриков С. С. Хирургия геморрагического инсульта. М. 2012. 336 с.
4. Dey Mahua; Stadnik, Agnieszka; Awad, Issam A. Spontaneous Intracerebral and Intraventricular Hemorrhage: Advances in Minimally Invasive Surgery and Thrombolytic Evacuation, and Lessons Learned in Recent Trials. // Neurosurgery, February 2014, Volume 74, Supplement 1. p. S142–S150
5. Heros, Roberto C. Advances and Innovations in Vascular Neurosurgery: Foreword: Part I. // Neurosergery, February 2014, Volume 74, Supplement 1. рp.S1–S2
6. Starke Robert M., Komotar Ricardo J. Connolly, E. Sander. A Randomized Clinical Trial and Meta-analysis of Early Surgery vs Initial Conservative Treatment in Patients With Spontaneous Lobar Intracerebral Hemorrhage // Neurosergery, February 2014, Volume 74, Issue 2. p. 11–12
References:
1. Akshulakov S.K., Ryskel'diev N.A., Olenbai G.I., Auezova R.Zh., Nurpeisov A.Z., Nurdinov M.A., Zhumadil'dina A.Zh., Doskaliev A.Zh. Anaplasticheskaya ependimoma IV zheludochka s prorastaniem v stvol golovnogo mozga vo vremya beremennosti s blagopriyatnym iskhodom. Neirokhirurgiya i nevrologiya Kazakhstana. [Anaplastic ependymoma of forth ventricle extended to the brain stem with pregnancy than was successfully surgically removed. Neurosurgery and neurology of Kazakhstan]. 2013. 1 (30), pp. 36-40 [in Kazakhstan]
2. Ishmukhametov R.Sh. Opyt khirurgiches-kogo lecheniya netravmaticheskikh vnutrimozgo-vykh gematom. Neirokhirurgiya i nevrologiya Kazakhstana. [Surgical treatment practice of non-traumatic intracerebral haematomas. Neurosurgery and neurology of Kazakhstan], 2014, 1 (34), pp. 7-11 [in Kazakhstan]
3. Krylov V.V., Dash'yan V.G., Burov S.A., Petrikov S.S. Khirurgiya gemorragicheskogo insul'ta. [Surgery of hemorrhagic stroke]. M., 2012, 336 p. [in Russian]
4. Dey, Mahua; Stadnik, Agnieszka; Awad, Issam A. Spontaneous Intracerebral and Intraventricular Hemorrhage: Advances in Minimally Invasive Surgery and Thrombolytic Evacuation, and Lessons Learned in Recent Trials. Neurosurgery. February 2014. Volume 74, Supplement 1, pp.142–150
5. Heros, Roberto C. Advances and Innovations in Vascular Neurosurgery: Foreword: Part I. Neurosergery. February 2014. Volume 74, Supplement 1, pp.1–2
6. Starke, Robert M.; Komotar, Ricardo J.; Connolly, E. Sander. A Randomized Clinical Trial and Meta-analysis of Early Surgery vs Initial Conservative Treatment in Patients With Spontaneous Lobar Intracerebral Hemorrhage. Neurosergery, February 2014. Volume 74. Issue 2, pp. 11–12
Number of Views: 521
Category of articles:
Clinical case
Bibliography link
Ишмухаметов Р. Ш., Каймак Т. В., Сабырбаева Н. Т. Хирургическое лечение внутримозговых кровоизлияний у беременных женщин / / Наука и Здравоохранение. 2015. № 1. С. 69-72. Ishmukhametov R. Sh., Kaimak T. V., Sabyrbaeva N. T. Surgical treatment of intracerebral hemorrhage in pregnant women Nauka i Zdravoohranenie [Science & Healthcare]. 2015, 1, pp. С. 69-72. Ишмухаметов Р. Ш., Каймак Т. В., Сабырбаева Н. Т. Жүкті әйелдердегі ми ішілік гематоманың хирургиялық емдеу / / Ғылым және Денсаулық сақтау. 2015. № 1. Б. С. 69-72.Related publications:
RABIES - AN INFECTIOUS DISEASE WITH A FATAL OUTCOME (CLINICAL CASE)
ACTIVATION OF OPPOSITE PROCESSES – OSTEOPOROSIS AND OSTEOGENESIS IN ANKYLOSING SPONDYLITIS USING THE CLINICAL CASES
GRANULOMATOUS POLYANGITIS (WEGENER’S GRANULOMATOSIS) IN THE PRACTICE OF A RHEUMATOGIST
VARIANT OF ADULT-ONSET STILL’SDISCASE: CASE REPORT
A CASE OF DÜHRING'S DERMATITIS HERPETIFORMIS ASSOCIATED WITH SARS - COV - 2