Successful management of intracranial hemorrhage with brain herniation in a postpartum patient on extracorporeal membranous oxygenation: A case report

Managing intracranial hemorrhage in patients supported by extracorporeal oxygenation (ECMO) presents significant clinical challenges. We report a case of a postpartum patient with severe acute respiratory distress syndrome (ARDS) necessitating venovenous ECMO support, complicated by multicompartment...

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Bibliographic Details
Published inPerfusion p. 2676591241279745
Main Authors Wang, Jing, Altaweel, Laith, Desai, Mehul, Dalton, Heidi, Buchner, Jessica, Zhang, Lucy Q, Tahsili-Fahadan, Pouya
Format Journal Article
LanguageEnglish
Published England 02.09.2024
Subjects
postpartum
intracranial hemorrhage
brain herniation
extracorporeal membranous oxygenation
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Summary:Managing intracranial hemorrhage in patients supported by extracorporeal oxygenation (ECMO) presents significant clinical challenges. We report a case of a postpartum patient with severe acute respiratory distress syndrome (ARDS) necessitating venovenous ECMO support, complicated by multicompartmental intracranial hemorrhage resulting in brain herniation and necessitating emergent medical and surgical management of refractory intracranial hypertension. Care was guided by multimodal neuromonitoring, including intracranial pressure monitoring and electroencephalography. Despite these challenges, the patient achieved excellent neurological recovery. This case underscores the intricacies of managing neurological complications during ECMO and highlights the potential benefits of comprehensive neuromonitoring strategies.
ISSN:1477-111X
DOI:10.1177/02676591241279745