Pregnant woman with an intracranial meningioma – case report and review of the literature
| Autor: | Ligia Tataranu, B. C. Dumitrescu, Mircea Radu Gorgan |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Parasagittal Meningioma medicine.diagnostic_test business.industry medicine.medical_treatment General Medicine Partial Motor Seizure medicine.disease lcsh:RC346-429 Hydrocephalus Meningioma Magnetic resonance imaging of the brain Medicine Caesarean section Radiology Neurosurgery business lcsh:Neurology. Diseases of the nervous system Intracranial pressure |
| Zdroj: | Romanian Neurosurgery, Vol 21, Iss 4, Pp 489-496 (2014) |
| ISSN: | 2344-4959 1220-8841 |
| DOI: | 10.2478/romneu-2014-0067 |
| Popis: | It is about a 33-year-old female, with a 36 weeks uncomplicated pregnancy and with signs of increased intracranial pressure. Hours after admission and an obstetric evaluation, uterine contraction started and the patient was taken to the delivery room, where she presented a partial motor seizure on the left side with secondary generalization and urine emission. A caesarean section was performed without fetal or maternal complications. The urgent MRI gadolinium-enhanced brain scan revealed a 39/50/54 mm tumoral mass having an aspect of an anterior third falx cerebri meningioma. The patient was transferred to our neurosurgical department and afterwards surgery was performed with gross total removal of the tumoral mass. Histological examination revealed atypical meningioma with direct invasion into the adjacent brain parenchyma. A week later she was discharged from the hospital in good condition. One month after surgery, a contrastenhanced magnetic resonance imaging of the brain did not reveal any signs of tumor recurrence or residual tumor. Our recommendation is for postpartum surgery when is possible. Urgent neurosurgical interventions should be made in case of patients with malignant tumors, active hydrocephalus or benign intracranial tumor such as meningioma associated with signs of impending herniation, progress |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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