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Related Concept Videos

Psychosurgery01:30

Psychosurgery

Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...

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Mouse In Vivo Placental Targeted CRISPR Manipulation
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Neurosurgery in pregnancy.

Rabia Qaiser1, Peter Black

  • 1Department of Neurosurgery, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.

Seminars in Neurology
|October 18, 2007
PubMed
Summary
This summary is machine-generated.

Neurosurgical disorders in pregnant women, including hemorrhage and tumors, can be managed safely with modern anesthesia. Semielective surgeries are ideally postponed until the third trimester when possible.

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Stereotaxic Surgery for Genetic Manipulation in Striatal Cells of Neonatal Mouse Brains
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Area of Science:

  • Neurology
  • Neurosurgery
  • Obstetrics

Background:

  • Neurosurgical disorders represent a significant cause of nonobstetric mortality and morbidity in pregnant individuals.
  • Common conditions include intracranial hemorrhage, hydrocephalus, tumors, disc rupture, and head trauma.

Purpose of the Study:

  • To discuss critical surgical and anesthetic considerations for managing neurosurgical conditions during pregnancy.
  • To highlight the safety of modern anesthetic techniques for both mother and fetus.

Main Methods:

  • Review of common neurosurgical conditions encountered during pregnancy.
  • Discussion of management strategies, including conservative approaches and surgical interventions.
  • Consideration of anesthetic implications and fetal safety.

Main Results:

  • Modern anesthesia allows for safe management of life-threatening neurosurgical issues in pregnant patients.
  • Conservative management is often feasible for intracranial hemorrhage and disc ruptures.
  • Tumors like meningiomas and pituitary adenomas may necessitate urgent decompression.
  • Hydrocephalus may worsen but is often manageable; head trauma is treated similarly to nonpregnant patients.

Conclusions:

  • Neurosurgical conditions in pregnancy require careful, individualized management balancing maternal and fetal well-being.
  • Timely surgical intervention is crucial for specific conditions, while others may be managed conservatively or postponed.
  • Optimal outcomes depend on multidisciplinary collaboration between neurosurgical, obstetric, and anesthesia teams.