title: Simultaneous cesarean delivery and craniotomy in a term pregnant patient with traumatic brain injury.
abstract: 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.
authors.affiliation: Department of Anesthesia and Surgical Intensive Care, Mansoura University Hospitals, Mansoura, Daqahlia, Egypt.
authors.forename: Mohamed Mohamed
authors.initials: MM
authors.lastname: Tawfik
authors.affiliation: Department of Anesthesia and Surgical Intensive Care, Mansoura University Hospitals, Mansoura, Daqahlia, Egypt.
authors.forename: Basma Abed
authors.initials: BA
authors.lastname: Badran
authors.affiliation: Department of Anesthesia and Surgical Intensive Care, Mansoura University Hospitals, Mansoura, Daqahlia, Egypt.
authors.forename: Ahmed Amin
authors.initials: AA
authors.lastname: Eisa
authors.affiliation: Department of Obstetrics and Gynecology, Mansoura University Hospitals, Mansoura, Daqahlia, Egypt.
authors.forename: Rafik Ibrahim
authors.initials: RI
authors.lastname: Barakat
keywords: Cesarean section; craniotomy; pregnancy; traumatic brain injury
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