Affiliation:
1. Department of Neurosurgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
Abstract
ABSTRACT
Spontaneous intracerebral haematomas in the obstetric setting pose considerable challenges. Decision-making involves deliberations on the gestational age, neurological status of the mother, clot volume, underlying pathology, timing of surgery if indicated, maternal positioning during neurosurgery, anaesthesiologic strategies, monitoring of the pregnancy during surgery and the mode of delivery. We present the case history of a 36-year old female homemaker (G2 P1 L1) who presented to the emergency in her 29th week of gestation with a large putaminal bleed. The report discusses the management and ethical dilemmas encountered during the management of obstetric patients with spontaneous intracerebral hematomas.