SURGICAL TREATMENT OF INTRACEREBRALHEMORRHAGE IN PREGNANT WOMEN

Abstract

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.