CASE REPORT : TRAUMATIC BRAIN INJURY IN PREGNANCY

Authors

  • MUHAMMAD FARHAN WIBOWO Faculty of Medicine, University of Jember, Indonesia
  • Indra Damayanti ,RSUD dr. Soeroto, Ngawi Regency, East Java, Indonesia
  • Sigit Darmadi ,RSUD dr. Soeroto, Ngawi Regency, East Java, Indonesia

DOI:

https://doi.org/10.31004/jkt.v6i1.43039

Keywords:

cedera otak traumatik, kehamilan, manajemen

Abstract

Cedera otak traumatik merupakan penyebab utama kecacatan dan kematian, dan bila terjadi pada wanita hamil, penanganan yang kompleks dan pertimbangan khusus harus diperhatikan. Tujuan untuk menjelaskan dan menganalisis kasus cedera otak traumatik pada kehamilan. Seorang perempuan berusia 41 tahun pasca kecelakaan lalu lintas datang dengan keluhan mual, muntah, pusing, nyeri perut, dan tidak sadarkan diri, pada pemeriksaan fisik ditemukan nyeri tekan epigastrium, hematoma frontal dan multiple excoriation vulnus. Pada CT scan kepala tidak ditemukan adanya perdarahan, pada pemeriksaan status obstetri ditemukan G3P2002 usia kehamilan 20/21 minggu, posisi kepala, primitua sekunder, usia > 35 tahun. Pasien menjalani penanganan trauma kepala dan perawatan kehamilan konservatif yang melibatkan manajemen multidisiplin. Pasien dengan cedera otak traumatik pada kehamilan, baik yang ringan maupun yang berat, dikaitkan dengan hasil maternal dan fetal yang buruk, oleh karena itu diperlukan manajemen multidisiplin yang komprehensif dan pemantauan intensif untuk mencapai hasil pasien yang baik.  

References

Al Fauzi, A., Apriawan, T., Ranuh, I. G. M. A. R., Christi, A. Y., Bajamal, A. H., Turchan, A., Agus Subagio, E., Suroto, N. S., Santoso, B., Dachlan, E. G., Utomo, B., & Kasper, E. M. (2023). Traumatic brain injury in pregnancy: A systematic review of epidemiology, management, and outcome. Journal of Clinical Neuroscience, 107, 106–117. https://doi.org/10.1016/j.jocn.2022.12.007

Cunningham, F. G., Leveno, K. J., Bloom, S. L., Spong, C. Y., Dashe, J. S., Hoffman, B. L., Casey, B. M., & Scorza, W. E. (2022). Williams obstetrics (26th ed.). McGraw-Hill Education.

Di Filippo, S., Godoy, D. A., Manca, M., Paolessi, C., Bilotta, F., Meseguer, A., Severgnini, P., Pelosi, P., Badenes, R., & Robba, C. (2022). Ten rules for the management of moderate and severe traumatic brain injury during pregnancy: An expert viewpoint. Frontiers in Neurology, 13, 911460. https://doi.org/10.3389/fneur.2022.911460

Kho, G. S., & Abdullah, J. M. (2018). Management of severe traumatic brain injury in pregnancy: A body with two lives. Malaysian Journal of Medical Sciences, 25(5), 151–157. https://doi.org/10.21315/mjms2018.25.5.14

Haldar, A., Raj, B., Maurya, V. P., Yunus, M., Mishra, R., & Agrawal, A. (2023). Neurocritical care perspective of traumatic brain injury during pregnancy. Journal of Neurointensive Care, 6(1), 15–19. https://doi.org/10.32587/jnic.2022.00577

Leach, M. R., & Zammit, C. G. (2020). Traumatic brain injury in pregnancy. In Handbook of Clinical Neurology (Vol. 172, pp. 51–61). Elsevier. https://doi.org/10.1016/B978-0-444-64240-0.00003-9

Vaajala, M., Tarkiainen, J., Liukkonen, R., Kuitunen, I., Ponkilainen, V., Kekki, M., & Mattila, V. M. (2023). Traumatic brain injury during pregnancy is associated with increased rate of cesarean section: A nationwide multi-register study in Finland. Journal of Maternal-Fetal & Neonatal Medicine, 36(1), 2203301. https://doi.org/10.1080/14767058.2023.2203301

Downloads

Published

2025-03-03

Issue

Vol. 6 No. 1 (2025): MARET 2025

Section

Articles

License

Copyright (c) 2025 MUHAMMAD FARHAN WIBOWO, Indra Damayanti, Sigit Darmadi

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).