Awake Craniotomy for the Treatment of a Cortical Pseudoaneurysm in a Pregnant Patient. (Record no. 3156)
[ view plain ]
000 -LEADER | |
---|---|
fixed length control field | 02411nam a22002657a 4500 |
003 - CONTROL NUMBER IDENTIFIER | |
control field | OSt |
005 - DATE AND TIME OF LATEST TRANSACTION | |
control field | 20230312215414.0 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
fixed length control field | 180228s20172017 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
International Standard Serial Number | 2168-8184 |
024 ## - OTHER STANDARD IDENTIFIER | |
Standard number or code | 10.7759/cureus.1921 [doi] |
024 ## - OTHER STANDARD IDENTIFIER | |
Standard number or code | PMC5802793 [pmc] |
040 ## - CATALOGING SOURCE | |
Original cataloging agency | Ovid MEDLINE(R) |
Transcribing agency | whc |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
PMID | 29456901 |
245 ## - TITLE STATEMENT | |
Title | Awake Craniotomy for the Treatment of a Cortical Pseudoaneurysm in a Pregnant Patient. |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Year | 2017 |
266 ## - Date added to catalog | |
Date added to catalog | 2018-02-28 |
520 ## - SUMMARY, ETC. | |
Abstract | Neurosurgical pathologies presenting during pregnancy are uncommon. If present, the situation creates a unique diagnostic, observational, and therapeutic challenge as both lives are placed at potential risk. Surgical procedures during pregnancy are approached carefully as physiological stressors associated with surgery and anesthesia may cause fetal or maternal compromise. We present the only known case of a pseudoaneurysm treated with an awake craniotomy, allowing us to abate the risks associated with general anesthesia in pregnancy. A female suffered a superficially penetrating gunshot wound to the head for which she underwent a craniotomy with complete neurological recovery. She had complaints of intermittent headaches, dizziness, and tingling of her hands five months thereafter. The cerebral angiogram demonstrated an 8 mm pseudoaneurysm under her craniotomy site. A surgical repair of this aneurysm was undertaken in the 23rd week of pregnancy via an awake craniotomy with regional scalp block. The aneurysm was resected without complication, and the patient tolerated the procedure without neurological deficit during or subsequent to the operation. Cerebrovascular pathology in pregnant patients remains a difficult situation that poses challenges associated with the pathology itself as well as the anesthetic implications inherent with operative management. The neurosurgical literature demonstrates that surgical management of cerebrovascular pathology is well-tolerated in pregnancy, and our case further demonstrates the capability of utilizing an awake craniotomy for the treatment of this type of lesion without causing a residual deficit. |
546 ## - LANGUAGE NOTE | |
Language note | English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | PubMed-not-MEDLINE -- Not indexed |
9 (RLIN) | 7 |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
Institution | MedStar Washington Hospital Center |
9 (RLIN) | 10 |
656 ## - INDEX TERM--OCCUPATION | |
Department | Neurosurgery |
657 ## - INDEX TERM--FUNCTION | |
Medline publication type | Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME | |
Local Authors | Felbaum, Daniel R |
9 (RLIN) | 9 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
Koha item type | Journal Article |
Source of classification or shelving scheme | Dewey Decimal Classification |
Item type description | Article |
Withdrawn status | Lost status | Damaged status | Not for loan | Collection | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MedStar Authors Catalog | MedStar Authors Catalog | 02/28/2018 | 29456901 | 29456901 | 02/28/2018 | 02/28/2018 | Journal Article |