Safdari Mohammad, Safdari Zohre, Pishjoo Masoud
Department of Neurosurgery, Zahedan University of Medical Sciences, Zahedan, Iran.
Department of Radiology, Zahedan University of Medical Sciences, Zahedan, Iran.
Bull Emerg Trauma. 2018 Oct;6(4):372-375. doi: 10.29252/beat-060417.
Trauma, especially traumatic injuries due to car accidents are one of the causes of maternal and fetal mortality and morbidity during pregnancy. Fetus brain injuries are usually caused fetus death. We herein report a pregnant woman in 28 weeks of gestation. The fetus was found to be normal during in-hospital. At birth, the female neonate demonstrated developmental delay and neurological deficits (hypotonicity). Neuroimaging after birth revealed extreme dilatation of lateral ventricles, hypoplasia and aplasia of the brain. In 4 months, she had multiple morbidities including developmental delay, hypotonia, blindness, oropharyngeal dysphagia and simple partial seizure. Motor and response to stimulation was normal. Appropriate seatbelt usage can protect the fetus from sustaining severe intracranial injuries.
创伤,尤其是交通事故导致的创伤性损伤,是孕期母婴死亡和发病的原因之一。胎儿脑损伤通常会导致胎儿死亡。我们在此报告一名妊娠28周的孕妇。住院期间胎儿检查正常。出生时,女婴表现出发育迟缓及神经功能缺损(肌张力减退)。出生后的神经影像学检查显示侧脑室极度扩张、脑发育不全和脑发育不全。4个月时,她出现多种病症,包括发育迟缓、肌张力减退、失明、口咽吞咽困难和单纯部分性癫痫。运动和对刺激的反应正常。正确使用安全带可保护胎儿免受严重颅内损伤。