Decompressive Craniectomy in Pregnant Women

J Neurol Surg A Cent Eur Neurosurg. 2022 Mar;83(2):210-213. doi: 10.1055/s-0041-1726108. Epub 2021 Jun 2.


Malignant middle cerebral artery (MCA) infarction warranting decompressive craniectomy (DC) is unusual in the population younger than 40 years. Specifically, only a few cases affecting pregnant women have been described in the literature. We present the case of a 39-year-old woman in the 24th week of pregnancy who suffered a right malignant MCA infarction that eventually required DC. The patient delivered a healthy baby and underwent a second surgery for cranioplasty 7 months later. We present both this case and a review of the literature, including all cases of DC in pregnant women published to date.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Decompressive Craniectomy*
  • Female
  • Humans
  • Infarction, Middle Cerebral Artery / diagnostic imaging
  • Infarction, Middle Cerebral Artery / surgery
  • Pregnancy
  • Pregnant Women
  • Treatment Outcome