Shiota Nobuhiro, Satomoto Maiko, Hakusui Takashi, Nakazawa Koichi, Makita Koshi
Masui. 2014 Oct;63(10):1142-5.
A 35-year-old parturient, 35 weeks pregnant, pre- sented with intracranial tumor with increased intracra- nial pressure. She underwent emergency cesarean section under general anesthesia, followed by craniotomy. The intraoperative and postoperative courses were uneventful. The occurrence of brain tumors during pregnancy is very rare; meanwhile pregnancy may aggravate the natural history of an intracranial tumor, and may even unmask previously unknown diagnosis. The decision to proceed with cesarean section and neurosurgery depends on the site, size, type of tumor, neurological signs and symptoms, age of the fetus, and the patient's wishes. Therefore, close communication between the neurologist, neurosurgeon, anesthesiologist, obstetrician and the patient is very important.
一名35岁的产妇，怀孕35周，因颅内肿瘤伴颅内压升高入院。她在全身麻醉下接受了紧急剖宫产，随后进行了开颅手术。术中和术后过程均顺利。怀孕期间发生脑肿瘤非常罕见；同时，怀孕可能会加重颅内肿瘤的自然病程，甚至可能揭示先前未知的诊断。决定进行剖宫产和神经外科手术取决于肿瘤的部位、大小、类型、神经体征和症状、胎儿年龄以及患者的意愿。因此，神经科医生、神经外科医生、麻醉师、产科医生和患者之间的密切沟通非常重要。
