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July 1965

Intracranial Surgery Under Hypothermia During Pregnancy

Author Affiliations

From the Neurological Institute, New York.

Arch Neurol. 1965;13(1):70-76. doi:10.1001/archneur.1965.00470010074010

Surgical therapy during pregnancy was formerly viewed as a drastic undertaking, conducive to high fetal and maternal morbidity and mortality. This attitude, which has led to expectant and often disastrous treatment of nonobstetrical surgical diseases during pregnancy, has been reversed in the last decade. It is now felt that, generally, "the pregnant female can tolerate operation just as well as the nonpregnant female"1 and, further, "acute surgical conditions must be treated without delay regardless of the stage of gestation."2

The definitive treatment of intracranial disease presenting during pregnancy has been standardized in many neurological centers.3-6 There has been a reluctance, however, to use the full therapeutic armamentarium available. Despite the routine use of hypothermia in appropriate situations, only three intracranial operations with hypothermia have been reported in pregnant women.7-9 We wish to present two further cases to demonstrate the safety of hypothermia during intracranial surgery on

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