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J Neurol Surg A Cent Eur Neurosurg 2022; 83(02): 210-213
DOI: 10.1055/s-0041-1726108
Case Report

Decompressive Craniectomy in Pregnant Women

Adrián Fernández García 
1   Department of Neurosurgery, Valladolid University Hospital, Valladolid, Spain
,
Herbert Daniel Jiménez Zapata
1   Department of Neurosurgery, Valladolid University Hospital, Valladolid, Spain
,
Mercedes C. de Lera Alfonso
2   Department of Neurology, Valladolid University Hospital, Valladolid, Spain
,
Carlos Sánchez Fernández 
1   Department of Neurosurgery, Valladolid University Hospital, Valladolid, Spain
,
Paloma Jiménez Arribas
1   Department of Neurosurgery, Valladolid University Hospital, Valladolid, Spain
,
Carlos Alberto Rodríguez Arias
1   Department of Neurosurgery, Valladolid University Hospital, Valladolid, Spain
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Abstract

Malignant middle cerebral artery (MCA) infarction warranting decompressive craniectomy (DC) is unusual in the population younger than 40 years. Specifically, only a few cases affecting pregnant women have been described in the literature. We present the case of a 39-year-old woman in the 24th week of pregnancy who suffered a right malignant MCA infarction that eventually required DC. The patient delivered a healthy baby and underwent a second surgery for cranioplasty 7 months later. We present both this case and a review of the literature, including all cases of DC in pregnant women published to date.

Keywords

decompressive - craniectomy - stroke - pregnant - cranioplasty


Publication History

Received: 28 May 2020

Accepted: 28 October 2020

Article published online:
02 June 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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