Nidamanuri Priya, Shastin Dmitri, Nannapaneni Ravindra
Department of Neurosurgery, University Hospital of Wales, Cardiff, UK.
Department of Neurosciences, Cardiff University, Cardiff, UK.
BMJ Case Rep. 2018 May 12;2018:bcr-2017-223152. doi: 10.1136/bcr-2017-223152.
A 33-year-old female patient presented with diplopia and left eye ptosis 26 weeks into her first pregnancy. No investigation was conducted at the time and her symptoms subsided 4 weeks post partum. This same phenomenon occurred during second pregnancy at 20 weeks of gestation, with patient becoming symptom-free again 6 weeks after giving birth. MRI revealed a lesion in the left cavernous sinus in keeping with a meningioma. Due to the surgically challenging location, the lesion was treated with gamma knife radiosurgery. To date, the patient remains asymptomatic with no progression on follow-up imaging 9 years on.
一名33岁女性患者在首次怀孕26周时出现复视和左眼上睑下垂。当时未进行检查，产后4周症状消退。第二次怀孕20周时出现同样现象，产后6周症状再次消失。磁共振成像（MRI）显示左侧海绵窦有一病变，符合脑膜瘤表现。由于病变位置手术难度大，采用伽玛刀放射外科治疗。至今，患者无症状，9年随访影像学检查无进展。
