Management of A 5 Week-Old Pregnant Woman with Traumatic Intracerebral Hematoma- A Case Report.

Management of A 5 Week-Old Pregnant Woman with Traumatic
Intracerebral Hematoma- A Case Report
Jordan Tambunan, Akhmad Imron, M.Z. Arifin
Department of Neurosurgery, School of Medicine, Padjadjaran University, Hasan Sadikin
Hospital,Bandung, Indonesia

Objective and Importance:
We present a case of a five week-old pregnant woman with traumatis intracerebral
hematoam treated with craniotomy evacuation with good outcome. The features of
clinical presentation, radiological appearence, and management strategy are
discussed.
Clinical Presentation:
A 23 year-old woman was admitted to our emergency room because of traffic accident.
She was unconcious(GCS=E3M5V3=11) and known five week old pregnant. Head
CT scan shows intracerebral hematoma and left base of temporal lobe. Abdominal
USG shows amnion with no sign of life.
Intervention:
Craniotomy evacuation was performed in neuroanestesi. Depo Progestin 100mg IM
was administered by abstetrician before surgery.
Result:
One week after surgery the patient sent home with good condition(GCS=15) with no

neurological deficit. On the 20th week abdominal USG shows amnion with heart
pulsation of embrio.

Keyword:
5 week-old pregnant woman,
evacuation.

traumatic intracerebral hematoma,

PIT PERSPEBSI, Bali, 20-24 November 2006

craniotomy