The management of severe isolated traumatic brain injury in pregnancy: A joint consensus statement from the European Association of Neurosurgical Societies (EANS) and the World Society of Emergency Surgery (WSES)
Year: 2026
Type: article
Abstract: Introduction: Severe traumatic brain injury (TBI) during pregnancy is a rare but challenging condition. There is scarce evidence in this population, and severe TBI management during gestation remains empirical and extrapolated from data on non-pregnant women. Material and methods: The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) collaborated to establish a multidisciplinary consensus panel of 115 physicians with vast expertise in the management of severe TBI, including cases of pregnant women. A modified Delphi approach was adopted. Two online questionnaires were conducted between February and June 2025. The list of statements (36) was distributed to the panelists to allow voting and to propose any comments and/or changes. The analysis of results was performed by an experienced non-voting methodologist. Statements were classified as strong suggestion, weak suggestion or no suggestion when >85%, 75-85% and <75% of votes were in favor, respectively. Results: A consensus was reached, generating 36 strong suggestions regarding several important aspects in the care of isolated severe TBI during pregnancy. Discussion and conclusions: This consensus provides practical suggestions to support a clinician's decision-making in the management of severe isolated TBI during pregnancy in high-income countries. However, these statements are based mainly on expert opinion, and further evidence is required in this field.
Source: Brain and Spine
Authors: Edoardo Picetti, Andreas K. Demetriades, Bart Depreitere, Aurelia Peraud, Fausto Catena, Chiara Robba, Bizhan Aarabi, Christian Abel, Fikri M. Abu-Zidan, P. David Adelson, Vanni Agnoletti, Luca Ansaloni, Rocco A. Armonda, Goran Augustin, Rafael Badenes, Zsolt J. Balogh, Daniele Bellantonio, Antonio Belli, Roberto Berretta, Giacomo Bertolini, Alessandro Bertuccio, Walter L. Biffl, Riccardo Boccaletti, Pierre Bouzat, Sérgio Brasil, Etrusca Brogi, Andras Buki, Anselmo Caricato, Fausto Catena, Ana M. Castano-Leon, Carlo Alberto Castioni, Davide Cerasti, CeCe Cheng, Randall M. Chesnut, Mircea Chirica, Alessandro Cipriano, Dario Cirillo, Enrico Cocchi, Federico Coccolini, Raul Coimbra, Carlo Coniglio, Belinda De Simone, Marika De Vito, Cristian Deana, Andreas K. Demetriades, Bart Depreitere, Enrico Fainardi, Maria Grazia Frigo, Alberto Giannini, Daniel A. Godoy, Areg Grigorian, Paolo Gritti, Deepak Gupta, Dubravko Habek, Gregory W.J. Hawryluk, Raimund Helbok, Peter J. Hutchinson, Corrado Iaccarino, Kenji Inaba, Arundhathi Jeyabalan, Ivo Kehayov, Andrew W. Kirkpatrick, Sam Klein, Angelos Kolias, Tommi K. Korhonen, Alfonso Lagares, Giovanni La Motta, Christos Lazaridis, Laura Lippa, Teemu M. Luoto, Deepa Malaiyandi, Nicolò Marchesini, Matthew J. Martin, Niklas Marklund, Geert Meyfroidt, Marina Munari, Jeffry Nahmias, Lena M. Napolitano, Savvas Nicolau, David O. Okonkwo, Luigi Orfeo, Wellingson S. Paiva, Marios C. Papadopoulos, Aurelia Peraud, Ondra Petr, Alessandro Pezzini, Edoardo Picetti, Daniel Pinggera, Rita Pini, Jussi P. Posti, Hemanshu Prabhakar, Zaffer A. Qasim, Antonio Ragusa, Frank A. Rasulo, Sandro Rizoli, Chiara Robba, Frederick B. Rogers, Oreste Romeo, Elham Rostami, Andres M. Rubiano, Carla Bittencourt Rynkowski, Aarti Sarwal, Franco Servadei, Deepak Sharma, Lori Shutter, Ranjit D. Singh, Louis Smith, Philip F. Stahel, Jose I. Suarez, Fabio S. Taccone, Nicole A. Terpolilli, Péter J. Tóth, Christine T. Trankiem, Parmenion P. Tsitsopoulos, Andrew A. Udy, Alex B. Valadka, Thomas A. van Essen, Albert J. Varon, Monica S. Vavilala, Marco Vergano, Walter Videtta, Alexander Younsi, Marcello Zinelli, Tommaso Zoerle, Gianluigi Zona
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,950
Funders: Department of Neurosurgery, School of Medicine, Washington University in St. Louis, Centre Hospitalier, Université Grenoble Alpes, University of Southern California, University of Miami, University of Pennsylvania, Università degli Studi di Napoli Federico II, University of Chicago, Cleveland Clinic, Fondazione IRCCS Policlinico San Matteo, University of Washington, Hamad Medical Corporation, Johns Hopkins University, University of Pittsburgh, Case Western Reserve University, School of Medicine, Case Western Reserve University, Virginia Commonwealth University, West Virginia University, Università degli Studi di Milano, Université Grenoble Alpes, University Hospitals Birmingham NHS Foundation Trust, Haaglanden Medisch Centrum, Universidad El Bosque, Kepler Universitätsklinikum, National Institute for Health and Care Research, University of London, Universiteit Leiden, Universidad Complutense de Madrid, Lunds Universitet, Universitat de València, Örebro Universitet, KU Leuven, Tampereen Yliopisto, Università degli Studi di Firenze, Università degli Studi di Genova, Università degli Studi di Parma, Leids Universitair Medisch Centrum, University of British Columbia, Turun Yliopisto, Universidade de São Paulo, Ludwig-Maximilians-Universität München, Università di Bologna, United Arab Emirates University, Oulun Yliopisto, Aristotle University of Thessaloniki, Universitetssjukhuset Örebro, Uppsala Universitet, All-India Institute of Medical Sciences, Region Örebro län, Universiteit Hasselt, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Medizinische Universität Innsbruck, Tays, Skånes universitetssjukhus, Turun Yliopistollinen Keskussairaala, Universitätsklinikum Heidelberg, Perelman School of Medicine, University of Pennsylvania, University of California, Irvine, Leonard M. Miller School of Medicine, School of Medicine, Johns Hopkins University, Department of Anesthesiology and Pain Medicine, University of Washington, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, School of Medicine, University of Maryland, St. George's, University of London, Universitaire Ziekenhuizen Leuven, KU Leuven, NIHR Cambridge Biomedical Research Centre, Faculty of Medicine and Health, University of Sydney, European Association of Neurosurgical Societies, Istituto di Ricovero e Cura a Carattere Scientifico, Department of Radiology, Baylor College of Medicine, Rocky Vista University
OpenAlex ID: W7130557239