Pregnancy with Meningioma: Report of Two Rare Cases

[摘要] Background: Meningioma in pregnancy is a rare occurrence. Whenever it is accompanied with pregnancy, it is mostly symptomatic with complaints like headache, vomiting, visual disturbance, seizures or altered sensorium. The management is challenging as the fetal well-being is also affected along with complications of raised intracranial pressure during labour. Case Report: Here we discuss two such cases of meningioma in third trimester. One was frontal meningioma with intact neurological functions. On the other hand, second patient had a left sphenoid meningioma with left optic atrophy and right hemiparesis. Both of them underwent cesarean delivery under general anesthesia. However, the neurosurgical excision of meningioma was accompanied with the delivery in the second case as the situation demanded the same. Conclusion: These cases always warrant a multimodality approach involving obstetrician, neonatologist, anaesthetist and neurosurgeon. The timing of delivery or neurosurgery depends on the clinical situation like fetal maturity, neurological condition,  progress of symptoms and patients’ wishes. 

[学科分类] 生理学

[关键词] Home page Right