Life support for 10 weeks with successful fetal outcome after fatal maternal brain damage

A 31 year old woman in whom subarachnoid and intracerebral haemorrhage occurred during the second trimester of pregnancy was sustained in intensive care with a respirator for 10 weeks. Computed tomography of the brain showed bilateral intraventricular haemorrhages. Because of drug resistant hypotoni...

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Veröffentlicht in:BMJ 1985-04, Vol.290 (6477), p.1237-1238
Hauptverfasser: Heikkinen, J E, Rinne, R I, Alahuhta, S M, Lumme, J A, Koivisto, M E, Kirkinen, P P, Sotaniemi, K A, Nuutinen, L S, Järvinen, P A
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Sprache:eng
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Zusammenfassung:A 31 year old woman in whom subarachnoid and intracerebral haemorrhage occurred during the second trimester of pregnancy was sustained in intensive care with a respirator for 10 weeks. Computed tomography of the brain showed bilateral intraventricular haemorrhages. Because of drug resistant hypotonic episodes at 31 weeks' gestation caesarean section was performed, and a boy was delivered. The woman died of spontaneous cardiac arrest two days after caesarean section, and the boy showed normal development. Life support can be continued for several weeks in a modern intensive care unit after fatal insult to the brain even in a pregnant woman without affecting the fetus.
ISSN:0267-0623
0959-8138
1468-5833
DOI:10.1136/bmj.290.6477.1237