Department of Neurological Surgery, University of Washington, Seattle, Washington, USA.
Department of Neurological Surgery, University of Washington, Seattle, Washington, USA.
World Neurosurg. 2020 Oct;142:368-370. doi: 10.1016/j.wneu.2020.07.060. Epub 2020 Jul 17.
We present a remarkable image of a woman, 24 weeks pregnant, who sustained polytrauma after a high-speed motor vehicle collision. Evaluation revealed traumatic bilateral subdural hematoma in the fetus and an unstable T12-L1 fracture in the patient. The standard of care for her unstable fracture was surgical fixation; however, this was hampered by the desire to continue the pregnancy in the interest of the premature fetus. This case presented a unique additional consideration in the management of the polytrauma neurosurgery patient and underscores the importance of coordinated team work and patient counseling to achieve the optimal patient outcome.
我们呈现了一位怀孕 24 周的女性的惊人影像，她在一场高速汽车碰撞后遭受了多处创伤。评估显示胎儿双侧创伤性硬脑膜下血肿，患者 T12-L1 骨折不稳定。她不稳定骨折的标准治疗方法是手术固定；然而，这受到了继续妊娠以保护早产儿的愿望的阻碍。这个病例在多发创伤神经外科患者的管理中提出了一个独特的额外考虑因素，并强调了团队合作和患者咨询的重要性，以实现最佳的患者结果。
