Executive summary of the joint consensus statement from the European association of neurosurgical societies (EANS) and the world society of emergency surgery (WSES) on the management of the pregnant women with severe isolated traumatic brain injury

Scarce evidence is available regarding the management of severe traumatic brain injury (TBI) during pregnancy. The World Society of Emergency Surgery and the European Association of Neurosurgical Societies performed a multidisciplinary consensus conference involving 115 physicians with expertise in the management of severe TBI, including cases of pregnant women. A modified Delphi approach, including two online questionnaires were conducted between February and June 2025, was utilized. 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. In this article we present the executive summary. A consensus was reached, generating 36 strong suggestions. This consensus provides practical suggestions for the management of severe isolated TBI during pregnancy in high-income countries. More research is required in this field.

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Publication Details

Journal
World Journal of Emergency Surgery
Published
2026-09-11
DOI
https://doi.org/10.1186/s13017-026-00728-5
Primary Topic
Traumatic Brain Injury and Neurovascular Disturbances
Type
article
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article

Executive summary of the joint consensus statement from the European association of neurosurgical societies (EANS) and the world society of emergency surgery (WSES) on the management of the pregnant women with severe isolated traumatic brain injury

Laura Lippa, Pierre Bouzat, Carla Bittencourt Rynkowski, Ondra Petr et al.
World Journal of Emergency Surgery
Traumatic Brain Injury and Neurovascular Disturbances
article

Executive summary of the joint consensus statement from the European association of neurosurgical societies (EANS) and the world society of emergency surgery (WSES) on the management of the pregnant women with severe isolated traumatic brain injury

Laura Lippa, Pierre Bouzat, Carla Bittencourt Rynkowski, Ondra Petr, Teemu M. Luoto, Arundhathi Jeyabalan, Niklas Marklund, Rafael Badenes, Michele Salvagno, David O. Okonkwo, Raimund Helbok, Marina Munari, Cristian Deana, Deepak Sharma, Edoardo Picetti, Marios C. Papadopoulos, Etrusca Brogi, Marika De Vito, Davide Cerasti, András Büki, Riccardo Boccaletti, Goran Augustin, Maria Grazia Frigo, Gregory W. J. Hawryluk, Nicolò Marchesini, Antonio Belli, Geert Meyfroidt, Luigi Orfeo, Roberto Berretta, Aarti Sarwal, Anselmo Caricato, Alessandro Cipriano, Enrico Fainardi, Corrado Iaccarino, Daniel Pinggera, Carlo Alberto Castioni, Randall M. Chesnut, Antonio Ragusa, Enrico Cocchi, Rita Pini, Savvas Nicolau, Carlo Coniglio, Alessandro Pezzini, Franco Servadei, Zaffer Qasim, Sam Klein, Giacomo Bertolini, Alessandro Bertuccio, Belinda De Simone, Raul Coimbra, Wellingson S. Paiva, Lena M. Napolitano, Zsolt J. Balogh, Giovanni La Motta, Tommi K. Korhonen, Dario Cirillo, Elham Rostami, Lori Shutter, Bart Depreitere, Philip F. Stahel, Ivo Kehayov, Hemanshu Prabhakar, Andres M. Rubiano, Mircea Chirica, Daniel A. Godoy, Andrew W. Kirkpatrick, Bizhan Aarabi, P. David Adelson, Frederick B. Rogers, Ranjit D. Singh, Vanni Agnoletti, Louis Smith, Daniele Bellantonio, Dubravko Habek, Fikri M. Abu-Zidan, Oreste Romeo, Christian Abel, Ana M. Castano-Leon, Luca Ansaloni, Jeffry Nahmias, Rocco A. Armonda, Sandro Rizoli, Angelos Kolias, CeCe Cheng, Paolo Gritti, Andreas K. Demetriades, Federico Coccolini, Sérgio Brasil, Christos Lazaridis, Areg Grigorian, Walter L. Biffl, Jussi P. Posti, Alfonso Lagares, Alberto Giannini, Deepak Gupta, Kenji Inaba, Peter J. Hutchinson, Frank A. Rasulo, Matthew J. Martin, Deepa Malaiyandi
article en

Abstract

Scarce evidence is available regarding the management of severe traumatic brain injury (TBI) during pregnancy. The World Society of Emergency Surgery and the European Association of Neurosurgical Societies performed a multidisciplinary consensus conference involving 115 physicians with expertise in the management of severe TBI, including cases of pregnant women. A modified Delphi approach, including two online questionnaires were conducted between February and June 2025, was utilized. 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. In this article we present the executive summary. A consensus was reached, generating 36 strong suggestions. This consensus provides practical suggestions for the management of severe isolated TBI during pregnancy in high-income countries. More research is required in this field.

World Journal of Emergency Surgery
Università Cattolica del Sacro Cuore (IT), Rocky Vista University (US), University of Southern California (US), West Virginia University (US), Johannes Kepler University of Linz (AT), University of Modena and Reggio Emilia (IT), Uppsala University (SE), University of Parma (IT), University of Maryland, Baltimore (US), Regions Hospital (US), MedStar Washington Hospital Center (US), University Hospitals Birmingham NHS Foundation Trust (GB), Université Libre de Bruxelles (BE), Bronson Methodist Hospital (US), University of Padua (IT), University Hospital Centre Zagreb (HR), University of British Columbia (CA), Innsbruck Medical University (AT), University of Turku (FI), St George's, University of London (GB), University of Pittsburgh (US), Universidade de São Paulo (BR), Georgetown University (US), Virginia Commonwealth University (US), Universidad El Bosque (CO), University of Washington (US), United Arab Emirates University (AE), University of California, Irvine (US), University of Cambridge (GB), University of Pavia (IT), Örebro University (SE), University of Michigan (US), Oulu University Hospital (FI), John Hunter Hospital (AU), Centre Hospitalier Universitaire de Grenoble (FR), Medical University Plovdiv (BG), Society for Maternal-Fetal Medicine (US), Washington Hospital (US), Riverside University Health System - Medical Center (US), Turku University Hospital (FI), Foothills Medical Centre (CA), MedStar Georgetown University Hospital (US), Agostino Gemelli University Polyclinic (IT), Edinburgh Royal Infirmary (GB), Vancouver General Hospital (CA), West Virginia University Hospitals (US), Cleveland Clinic Lerner College of Medicine (US), Research Institute Hospital 12 de Octubre (ES), University of Chicago Medical Center (US), Faculdade Redentor (BR), Blanchette Rockefeller Neurosciences Institute (US), Azienda Unita' Sanitaria Locale Di Modena (IT), Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (IT), Azienda Ospedaliera Universitaria Integrata Verona (IT), Hospital Clínico Universitario de Valencia (ES), Örebro County Council (SE), Jessa Hospital (BE), University of California, Irvine Medical Center (US), Medisch Centrum Haaglanden (NL), Ospedale Maggiore Carlo Alberto Pizzardi (IT), Maria Cecilia Hospital (IT), Hospital Universitario 12 De Octubre (ES), Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT), Magee-Womens Hospital (US), Ospedale Papa Giovanni XXIII (IT), Azienda Unità Sanitaria Locale Della Romagna (IT), Fatebenefratelli Hospital (IT), Scripps Clinic Medical Group (US), Hospital Infantil Universitario Niño Jesús (ES), Klinička bolnica Merkur (HR), Michigan Medicine (US), Istituto delle Scienze Neurologiche di Bologna (IT), Tampere University Hospital (FI), Ospedale Infermi di Rimini (IT), Örebro University Hospital (SE), Tampere University (FI), Skåne University Hospital (SE), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR), Grenoble Institute of Neurosciences (FR), Policlinico San Matteo Fondazione (IT), Istituti di Ricovero e Cura a Carattere Scientifico (IT), University School (US), Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo (IT), Neurological Surgery (US), Tech Foundation (US), The Neurological Institute (US), Fondazione IRCCS Istituto Neurologico Carlo Besta (IT), Azienda Ospedaliera Universitaria Pisana (IT), University of Florence (IT), Hamad Medical Corporation (QA), Case Western Reserve University (US), All India Institute of Medical Sciences (IN), University of Naples Federico II (IT), University of Pennsylvania (US), Hasselt University (BE), Université Grenoble Alpes (FR), University of Bologna (IT), UCLouvain (BE), KU Leuven (BE)
Good health and well-being, Gender equality
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Traumatic Brain Injury and Neurovascular Disturbances
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