PIT PERSPEBSI, Bali, 20-24 November 2006
Management of A 5 Week-Old Pregnant Woman with Traumatic
Intracerebral Hematoma- A Case Report
Jordan Tambunan, Akhmad Imron, M.Z. Arifin
Department of Neurosurgery, School of Medicine, Padjadjaran University, Hasan Sadikin Hospital,Bandung, Indonesia
Objective and Importance:
We present a case of a five week-old pregnant woman with traumatis intracerebral hematoam treated with craniotomy evacuation with good outcome. The features of clinical presentation, radiological appearence, and management strategy are discussed.
Clinical Presentation:
A 23 year-old woman was admitted to our emergency room because of traffic accident. She was unconcious(GCS=E3M5V3=11) and known five week old pregnant. Head CT scan shows intracerebral hematoma and left base of temporal lobe. Abdominal USG shows amnion with no sign of life.
Intervention:
Craniotomy evacuation was performed in neuroanestesi. Depo Progestin 100mg IM was administered by abstetrician before surgery.
Result:
One week after surgery the patient sent home with good condition(GCS=15) with no neurological deficit. On the 20th week abdominal USG shows amnion with heart pulsation of embrio.
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