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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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Neurosurgery and pregnancy.

Erez Nossek1, Margaret Ekstein, Eli Rimon

  • 1Department of Neurosurgery, Tel Aviv Medical Center, Israel.

Acta Neurochirurgica
|June 11, 2011
PubMed
Summary

Neurosurgical intervention during pregnancy is safe and effective. Delaying procedures can lead to maternal complications, suggesting early intervention is often best for pregnant patients requiring neurosurgery.

Area of Science:

  • Neurosurgery
  • Obstetrics
  • Maternal-Fetal Medicine

Background:

  • Pregnant women with neurosurgical conditions present unique management challenges.
  • Physiological changes in pregnancy complicate neurosurgical patient care.
  • This study reviews neurosurgical interventions in parturient women.

Purpose of the Study:

  • To evaluate the safety and outcomes of neurosurgical interventions in pregnant women.
  • To assess the impact of delaying neurosurgical procedures during pregnancy.
  • To provide evidence-based recommendations for managing neurosurgical conditions in pregnancy.

Main Methods:

  • Retrospective review of 34 pregnant and early postpartum women undergoing neurosurgery (2003-2010).
  • Analysis of surgical timing: during pregnancy vs. postpartum, and conservative management.

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  • Evaluation of maternal and neonatal outcomes, including Apgar scores and delivery methods.
  • Main Results:

    • 16 patients had neurosurgery during pregnancy (11-34 weeks gestation); 13 postpartum.
    • Delayed intervention in 12 patients led to 5 unsuccessful pregnancies.
    • All neonates had good outcomes despite some initial low Apgar scores; neurosurgical outcomes were satisfactory.

    Conclusions:

    • Neurosurgical intervention and anesthesia are safe during pregnancy.
    • Delaying necessary neurosurgery often results in maternal deterioration and urgent procedures.
    • Pregnancy should not be an absolute contraindication; early neurosurgical consideration is recommended.