Abstract
Hydrocephalic woman with cerebrospinal fluid shunts are now surviving to reproductive age. Both maternal intra-abdominal pressure and intracranial cerebrospinal fluid increase cause maternal and fetal complications due to cerebrospinal shunt. Therefore gestation period must be followed carefully with brain surgery department. Any shunt unfunction must be diagnosed promptly and solved at on time. There is no enough literature about pregnancies in women with previously placed ventricular shunts for obstructive hydrocephalus. Since there are doubts regarding the mode of delivery, analgesia and anesthesia. We present a case of labor in the 21 year-old woman with hydrocephalus and a ventriculoperitoneal shunt. It is considered that delivery mode of pregnant women with ventriculoperitoneal shunt without any neurological problems is to allow progress naturally and interventions limited to obstetrical reasons alone.
References
- Schiza S, Stamatakis E, Panagopoulou A, Valsamidis D. Management of pregnancy and delivery of a patient with malfunctioning ventriculoperitoneal shunt. J Obstet Gynaecol. 2012;32(1):6-9.
- Landwehr,Joseph B,Nelson B.,Pryde,Peter G.,at..Maternal Neurosurgical shunts and pregnancy outcome Obsteric-gynocology 1994.
- Wisoff JH1, Kratzert KJ, Handwerker SM, Young BK, Epstein F. Pregnancy in patients with cerebrospinal fluid shunts: report of a series and review of the literatüre. Neurosurgery. 1991;29(6):827-31.
- Murakami M, Morine M, Iwasa T, Takahashi Y, Miyamoto T, Hon PK, Nakagawa Y. Management of maternal hydrocephalus requires replacement of ventriculoperitoneal shunt with ventriculoatrialshunt: a case report Arch Gynecol Obstet. 2010;282(3):339-42
- Bursac D, Kulas T, Persec J, Persec Z, Duić Z, Partl JZ, Glavić Z, Hrgović Z, Bojanić K. Pregnancy and vaginal delivery in epidural analgesia in womanwith cerebrospinal fluid shunt. Coll Antropol. 2013;37(4):1343-5.
- Vybíhal V, Gerychová R, Janků P, Hanoun G, Sova M, Fadrus P, Smrčka M, Keřkovský M. Ceska Gynekol. Pregnancy and delivery in patients with an implanted shunt for hydrocephalus.2014;79(4):309-13
- Nikolov A, Surchev Zh, Nalbanski B, Diavolov V, Dimitrov A. Pregnancy and delivery in women with cerebrospinal fluid shunt due to hydrocephalus. Akush Ginekol . 2008;47(2):3-10.
Abstract
Hidrosefali sebebiyle serebrospinal şantı olan kadınların gebelik oranları giderek artmaktadır. Temel olarak maternal intraabdominal basınç artışı ve intrakraniyal serebrospinal sıvı artışı, gebelik ve doğum süresince serebrospinal şantı olan kadinlarda maternal ve fetal komplikasyonlara yolacabilmektedir. Bu nedenle gebelik öncesi ve gebelik süreci ile doğum dikkatli bir şekilde beyin cerrahisi ile birlikte takip edilmelidir. Olası bir şant fonksiyon bozukluğu tanısı gecikmeden konulmalı ve zamanında çözülmelidir. Bu hastaların gebelik süreçleri ve sonuçları hakkında literatürde yeterli çalışma bulunmamaktadır. Bu sebeple serebrospinal şantı olan gebelerin doğum şekli ve uygulanacak anestezi şekli ile ilgili yeterli deneyim yoktur. Bu olgu sunumu ile 21 yaşında hidrosefalisi ve ventrikuloperitoneal şantı olan gebenin yönetimi tartışılmıştır. Ventriküloperitoneal şantı olan ve nörolojik bir problemi olmayan gebelerde normal doğum tercih edilmesi ve obstetrik nedenler dışında doğuma müdahele edilmemesi önerilmektedir.
References
- Schiza S, Stamatakis E, Panagopoulou A, Valsamidis D. Management of pregnancy and delivery of a patient with malfunctioning ventriculoperitoneal shunt. J Obstet Gynaecol. 2012;32(1):6-9.
- Landwehr,Joseph B,Nelson B.,Pryde,Peter G.,at..Maternal Neurosurgical shunts and pregnancy outcome Obsteric-gynocology 1994.
- Wisoff JH1, Kratzert KJ, Handwerker SM, Young BK, Epstein F. Pregnancy in patients with cerebrospinal fluid shunts: report of a series and review of the literatüre. Neurosurgery. 1991;29(6):827-31.
- Murakami M, Morine M, Iwasa T, Takahashi Y, Miyamoto T, Hon PK, Nakagawa Y. Management of maternal hydrocephalus requires replacement of ventriculoperitoneal shunt with ventriculoatrialshunt: a case report Arch Gynecol Obstet. 2010;282(3):339-42
- Bursac D, Kulas T, Persec J, Persec Z, Duić Z, Partl JZ, Glavić Z, Hrgović Z, Bojanić K. Pregnancy and vaginal delivery in epidural analgesia in womanwith cerebrospinal fluid shunt. Coll Antropol. 2013;37(4):1343-5.
- Vybíhal V, Gerychová R, Janků P, Hanoun G, Sova M, Fadrus P, Smrčka M, Keřkovský M. Ceska Gynekol. Pregnancy and delivery in patients with an implanted shunt for hydrocephalus.2014;79(4):309-13
- Nikolov A, Surchev Zh, Nalbanski B, Diavolov V, Dimitrov A. Pregnancy and delivery in women with cerebrospinal fluid shunt due to hydrocephalus. Akush Ginekol . 2008;47(2):3-10.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | OBSTETRICS AND GYNECOLOGY |
| Authors | |
| Publication Date | March 6, 2016 |
| Published in Issue | Year 2016 Volume: 47 Issue: 1 |
