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Management of Neurological Trauma in the Pregnant Patient

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Neurological Disorders in Pregnancy

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Abstract

The presentation of a pregnant patient who has sustained a traumatic brain injury (TBI) is infrequent and the implications of these combined states is relatively unknown. TBI may be mild, moderate, or severe. Severe TBI can be life-threatening requiring emergent medical and surgical intervention. In this chapter, TBI is reviewed briefly followed by a systematic discussion of the Brain Trauma Foundation’s recommendations for the management of severe TBI. Any possible considerations for the pregnant patient are discussed with literature available. The authors also discuss the considerations for patient transfer to a higher-level care center, importance of a multidisciplinary team, fetal monitoring and time of delivery, imaging considerations, and lastly a brief review of literary works discussing the balance of maternal and fetal lives in the care provider’s decision making process. Overall, there is a great paucity of evidence for this specific presentation and more studies are required to better guide our care.

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Authors and Affiliations

  1. Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA

    Christopher E. Talbot

  2. Department of Neurological Surgery, NYU Grossman School of Medicine, New York, NY, USA

    Antonios Mammis

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  1. Christopher E. Talbot
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  2. Antonios Mammis
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Correspondence to Antonios Mammis .

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Editors and Affiliations

  1. Department of Neurosurgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Gaurav Gupta

  2. Department of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Todd Rosen

  3. Department of Neurology, Neurosurgery and Radiology, New York Medical College - Westchester Medical Center, Valhalla, NY, USA

    Fawaz Al-Mufti

  4. Department of Neurosurgery, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA

    Anil Nanda

  5. Department of Neurosurgery, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA

    Priyank Khandelwal

  6. Department of Neuroradiology, University Radiology, New Brunswick, NJ, USA

    Sudipta Roychowdhury

  7. Department of Neurology, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA

    Michael S. Rallo

  8. Department of Cerebrovascular & Endovascular Neurosurgery, Rutgers - Robert Wood Johnson Medical Sc, New Brunswick, NJ, USA

    Sanjeev Sreenivasan

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Talbot, C.E., Mammis, A. (2023). Management of Neurological Trauma in the Pregnant Patient. In: Gupta, G., et al. Neurological Disorders in Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-031-36490-7_17

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