高危妊娠中的小脑血管母细胞瘤：病例报告及文献复习。
Cerebellar Hemangioblastomas in a High-risk Pregnancy: A Case Report and Review of Literature.
机构信息
Department of Neurosurgery, Affiliated Hospital of Southwest Medical University, 25 Taiping Street, Lu Zhou, 646000, China.
Department of Neurosurgery, The Third Hospital of MianYang·Sichuan Mental Health Center, Sichuan, 621000, China.
出版信息
Curr Med Imaging. 2023;19(6):654-657. doi: 10.2174/1573405619666221017114922.
INTRODUCTION
Hemangioblastomas are highly vascular benign tumors that may increase in size during pregnancy. The concurrence of cerebellar hemangioblastoma in high-risk pregnancy is extremely rare and the treatment in this situation can be challenged.
CASE
Here, we report a case of a 30-year-old woman in the 33rd PW who had experienced a severe headache, dizziness, vomiting, and limb weakness. Cesarean section was performed in the 34th PW, followed by neurosurgery under multidisciplinary discussion.
DISCUSSION
The pathological exam suggested hemangioblastomas. Finally, both the pregnancy and the fetus had a good outcome.
CONCLUSION
This case emphasizes that the timing of surgery should be determined according to the neurological symptoms of the pregnancy and the gestational age (GA) and condition of the fetus.
简介
血管母细胞瘤是一种高度血管化的良性肿瘤，在妊娠期间可能会增大。小脑血管母细胞瘤在高危妊娠中的并发极为罕见，这种情况下的治疗可能具有挑战性。
病例
在此，我们报告了一例 33 孕周的 30 岁孕妇病例，她经历了严重的头痛、头晕、呕吐和肢体无力。在 34 孕周行剖宫产术，随后在多学科讨论下进行神经外科手术。
讨论
病理检查提示血管母细胞瘤。最终，妊娠和胎儿均有良好的结局。
结论
该病例强调手术时机应根据孕妇的神经症状以及胎儿的孕周和状况来确定。
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