Foo Jinny Y, Davis Gregory K, Brown Mark A
Department of Women and Children's Health, St George Hospital, Sydney, Australia.
School of Women's and Children's Health, University of NSW, Sydney, Australia.
Obstet Med. 2017 Dec;10(4):192-194. doi: 10.1177/1753495X17701847. Epub 2017 May 15.
We report a case of a left frontal lobe meningioma presenting in a woman with proteinuric preeclampsia in her first term pregnancy. The patient had a background of antepartum migraines that resolved in the second trimester of pregnancy. Postpartum, she required urgent surgery and sustained convulsions after surgery. She had no residual disease and has had another successful pregnancy. This case highlights the importance of cerebral imaging in the context of an atypical clinical course of preeclampsia. Although headaches are common in pregnancy and usually benign, other, more serious, diagnoses should be considered with atypical headaches, a change in the nature of the headache, and headaches that persist despite appropriate treatment. A full neurological examination including fundoscopy to exclude papilloedema should be performed and abnormal findings require further investigation.
我们报告了一例左额叶脑膜瘤病例,该病例发生在一名初孕时患有蛋白尿性先兆子痫的女性身上。患者有产前偏头痛病史,在妊娠中期缓解。产后,她需要紧急手术,术后出现惊厥。她没有残留疾病,并且再次成功怀孕。该病例凸显了在先兆子痫非典型临床病程背景下进行脑部成像的重要性。尽管头痛在孕期很常见且通常为良性,但对于非典型头痛、头痛性质改变以及经适当治疗后仍持续的头痛,应考虑其他更严重的诊断。应进行包括眼底镜检查以排除视乳头水肿的全面神经系统检查,异常发现需要进一步调查。