Document Detail

Recurrent exophytic meningioma in pregnancy.
MedLine Citation:
PMID:  23344414     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: : Meningiomas are slow-growing tumors that may present in pregnancy because of accelerated growth. We present the case of a recurrent meningioma in two separate pregnancies in the same woman.
CASE: : A 35-year-old woman presented at 30 weeks of gestation with limb weakness, vomiting, and a progressive decreased level of consciousness with an enlarging forehead mass. Imaging revealed a massive extra-axial exophytic tumor. An emergency craniotomy was performed, complicated by massive blood loss. Final pathology showed a grade I meningioma positive for progesterone receptors. Maternal-fetal outcome was good, with return of normal neurologic status and elective delivery at 38 weeks of gestation.
CONCLUSION: : Pregnancy is associated with accelerated meningioma growth and recurrence. Treatment during pregnancy is possible and requires a multidisciplinary approach.
Michelle S Chow; Philippe A Mercier; David A Omahen; Stephen L Wood; Jo-Ann M Johnson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  121     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  475-8     Citation Subset:  AIM; IM    
Department of Obstetrics & Gynecology and Department of Clinical Neurosciences, Foothills Hospital, Faculty of Medicine, University of Calgary, Calgary, Alberta and the Department of Neurosurgery, Royal Inland Hospital, Kamloops Britsh Columbia, Canada.
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