Abe Naoki, Goto Maki, Kira Sachino, Matsuno Mariko, Hayashi Sotaro, Oda Miho, Lee Lifa, To Yoko, Nishiyama Satoshi, Tsujioka Hiroshi
Department of Obstetrics & Gynecology, Iizuka Hospital, Fukuoka, Japan.
Department of Obstetrics & Gynecology, Iizuka Hospital, Fukuoka, Japan.
Taiwan J Obstet Gynecol. 2025 Jan;64(1):128-130. doi: 10.1016/j.tjog.2024.07.021.
The main objective of this case report is to discuss the differentiation between hyperemesis gravidarum and a brain tumor in the presence of hyperemesis symptoms in the first trimester of pregnancy.
A patient was initially diagnosed with hyperemesis gravidarum in early pregnancy and was hospitalized. After hospitalization, cerebral hemorrhage and cerebral hernia due to convulsions occurred. Magnetic resonance imaging showed a brain tumor. She underwent a craniotomy and then an artificial abortion. Despite treatment with radiation and chemotherapy, she died 9 months later.
Differentiating between hyperemesis gravidarum and a brain tumor based on a physical examination alone is difficult. Imaging should be performed when exacerbation of consciousness with suspected intracranial organic disease occurs.
