Case reports of patients with chronic disorders of consciousness in obstetric and gynecological practice

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Abstract

According to the modern classification system, chronic disorders of consciousness are defined as an altered state of consciousness that develops after coma and is accompanied by the restoration of wakefulness without the complete recovery of conscious activity for more than 28 days after traumatic brain injury. Clinical cases of chronic chronic disorders of consciousness development in women after surgical interventions related to various obstetrical and gynecological pathologies, as well as after routine surgical interventions for comorbid somatic pathology, are of particular interest to obstetricians and gynecologists. In the presented chronic chronic disorders of consciousness related clinical cases of operations for ectopic pregnancy, as well as consequences of elective surgery for gallstone disease, the development of hypo- and normogonadotropic ovarian insufficiency associated with chronic disorders of consciousness is described. The characteristics of the thyroid status, adrenocorticotropic function, and vitamin D levels are given. Further in-depth examination and accumulation of data on patients with chronic disorders of consciousness may provide an opportunity to determine informative markers for prognostication of outcomes, as well as to develop new effective approaches to consciousness rehabilitation in this category of patients.

About the authors

Alina O. Ivanova

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott

Author for correspondence.
Email: ivanova_ao93@mail.ru
ORCID iD: 0000-0003-0792-3337
SPIN-code: 5573-6990
ResearcherId: AAL-4500-2020

MD, Junior Researcher

Russian Federation, Saint Petersburg

Ekaterina A. Kondratyeva

Russian Research Neurosurgical Institute named after Professor A.L. Polenov, V.A. Almazov National Medical Research Center

Email: eak2003@mail.ru
ORCID iD: 0000-0001-6362-6543
SPIN-code: 6966-3270
Scopus Author ID: 349242

MD, PhD, Leading Researcher, Head of the Group for the Study of the Minimally Conscious State, Member of the Scientific Panel on Coma and Chronic Disorders of Consciousness of the European Academy of Neurology

Russian Federation, Saint Petersburg

Maria I. Yarmolinskaya

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott; North-Western State Medical University named after I.I. Mechnikov

Email: m.yarmolinskaya@gmail.com
ORCID iD: 0000-0002-6551-4147
SPIN-code: 3686-3605
Scopus Author ID: 7801562649
ResearcherId: P-2183-2014

MD, PhD, DSci (Medicine), Professor, Professor of the Russian Academy of Sciences, Head of the Department of Gynecology and Endocrinology, Head of the Diagnostics and Treatment of Endometriosis Center; Professor. The Department of Obstetrics and Gynecology

Russian Federation, Saint Petersburg

Elena V. Misharina

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott

Email: mishellena@gmail.com
ORCID iD: 0000-0002-0276-7112
SPIN-code: 7350-5674

MD, PhD, Senior Researcher. The Department of Gynecology and Endocrinology

Russian Federation, Saint Petersburg

Margarita S. Florova

The Research Institute of Obstetrics, Gynecology, and Reproductology named after D.O. Ott

Email: fm.sergeevna@gmail.com
ORCID iD: 0000-0003-4569-3827
SPIN-code: 1480-7599
Scopus Author ID: 924120

Junior Researcher. The Department of Gynecology and Endocrinology

Russian Federation, Saint Petersburg

Anatoly N. Kondratyev

Russian Research Neurosurgical Institute named after Professor A.L. Polenov, V.A. Almazov National Medical
Research Center

Email: eak2003@mail.ru
ORCID iD: 0000-0002-7648-2208

MD, PhD, DSci (Medicine), Professor, Scientific Director of the Department of Anesthesiology and Intensive Care

Russian Federation, Saint Petersburg

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Copyright (c) 2021 Ivanova A.O., Kondratyeva E.A., Yarmolinskaya M.I., Misharina E.V., Florova M.S., Kondratyev A.N.

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