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妊娠晚期脑膜瘤:一例报告。

Meningioma in the third trimester of pregnancy: A case report.

作者信息

Ettore Carla, Zambrotta Elisa, Gulino Ferdinando Antonio, Incognito Giosuè Giordano, Cannone Francesco Giuseppe, Ettore Giuseppe

机构信息

Department of Obstetrics and Gynaecology, Azienda di Rilievo Nazionale e di Alta Specializzazione (ARNAS) Garibaldi Nesima, Catania, Italy.

出版信息

Case Rep Womens Health. 2023 Sep 9;39:e00541. doi: 10.1016/j.crwh.2023.e00541. eCollection 2023 Sep.

Abstract

Meningiomas are rare benign tumors during pregnancy. They can put both the mother and the fetus at risk because rapid changes in size may occur. The study reports a case of olfactory groove meningioma in a 34-year-old pregnant woman with visual impairment, anosmia, and dysgeusia that increased in severity during the 29th week of gestation. Magnetic resonance imaging showed an olfactory groove meningioma. The patient underwent a preterm cesarean section to avoid the worsening of the clinical condition due to intracranial compression phenomena. A computed tomography scan of the brain supported the diagnosis. The surgical intervention occurred on the third day after delivery. The clinical course was uneventful and the chiasmal syndrome improved in the following 2 months. Meningiomas in pregnancy may present unique challenges and have a wide array of clinical presentations. Management of maternal meningiomas can be complex and requires a multidisciplinary approach. The treatment decision largely depends on the size and location of the tumor, the presence of symptoms, gestational age, and fetal well-being. Further research is needed to enhance the understanding of the underlying mechanisms and improve management approaches for this rare condition.

摘要

脑膜瘤在孕期是罕见的良性肿瘤。它们会使母亲和胎儿都面临风险,因为其大小可能会迅速变化。该研究报告了一例34岁孕妇的嗅沟脑膜瘤病例,该孕妇有视力障碍、嗅觉丧失和味觉障碍,在妊娠第29周时症状加重。磁共振成像显示为嗅沟脑膜瘤。患者接受了早产剖宫产,以避免因颅内压迫现象导致临床状况恶化。脑部计算机断层扫描支持了诊断。手术干预在分娩后第三天进行。临床过程平稳,视交叉综合征在接下来的2个月内有所改善。孕期脑膜瘤可能带来独特的挑战,并有广泛的临床表现。母亲脑膜瘤的管理可能很复杂,需要多学科方法。治疗决策很大程度上取决于肿瘤的大小和位置、症状的存在、孕周以及胎儿的健康状况。需要进一步研究以增进对这种罕见病症潜在机制的理解并改善管理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/860d/10506084/1fa859d78892/gr1.jpg

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