Single session cesarean section and emergent craniotomy in a pregnancy-associated giant intracranial meningioma: A case report and literature review
Background: Explosive growth of intracranial meningioma during pregnancy is rare and poses significant surgical and anesthetic challenges. The current paper aims to describe cesarean section (CS) and craniotomy in one anaesthesiologic setting and enumerate the challenges encountered in such rare ent...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751922001797 |
| _version_ | 1811190422711566336 |
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| author | Seyed Amir H. Javadi Zahid Hossein Khan Farzaneh Keneshlu Mohammad Mirahmadi Eraghi |
| author_facet | Seyed Amir H. Javadi Zahid Hossein Khan Farzaneh Keneshlu Mohammad Mirahmadi Eraghi |
| author_sort | Seyed Amir H. Javadi |
| collection | DOAJ |
| description | Background: Explosive growth of intracranial meningioma during pregnancy is rare and poses significant surgical and anesthetic challenges. The current paper aims to describe cesarean section (CS) and craniotomy in one anaesthesiologic setting and enumerate the challenges encountered in such rare entities in neurosurgery. Case presentation: The authors report a pregnancy-associated giant intracranial meningioma, which underwent CS at 37 weeks of gestational age followed by emergent craniotomy in the same setting because of the mass effect and progressive lower limb weakness. To our knowledge, this is the second successful case in contemporary literature without any morbidity. Conclusion: Several strategies have been elucidated for intracranial tumors during pregnancy; however, no evidence-based protocol is currently available. The plausible recommendation is a CS as the first surgery and the neurosurgical intervention when the patient's neurological status and gestational age allow. |
| first_indexed | 2024-04-11T14:50:55Z |
| format | Article |
| id | doaj.art-a771037dad5648f39c5ff4445ab98053 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-11T14:50:55Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-a771037dad5648f39c5ff4445ab980532022-12-22T04:17:30ZengElsevierInterdisciplinary Neurosurgery2214-75192023-03-0131101665Single session cesarean section and emergent craniotomy in a pregnancy-associated giant intracranial meningioma: A case report and literature reviewSeyed Amir H. Javadi0Zahid Hossein Khan1Farzaneh Keneshlu2Mohammad Mirahmadi Eraghi3Department of Neurosurgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran; Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; Corresponding author at: Department of Neurosurgery, Imam Khomeini Hospital, Keshavarz Blvd, Tehran Postal code: 1419733141, Iran.Department of Anesthesiology and Critical Care, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran Postal code: 1419733141, IranDepartment of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranBrain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; School of Medicine, Qeshm International Branch, Islamic Azad University, Qeshm, IranBackground: Explosive growth of intracranial meningioma during pregnancy is rare and poses significant surgical and anesthetic challenges. The current paper aims to describe cesarean section (CS) and craniotomy in one anaesthesiologic setting and enumerate the challenges encountered in such rare entities in neurosurgery. Case presentation: The authors report a pregnancy-associated giant intracranial meningioma, which underwent CS at 37 weeks of gestational age followed by emergent craniotomy in the same setting because of the mass effect and progressive lower limb weakness. To our knowledge, this is the second successful case in contemporary literature without any morbidity. Conclusion: Several strategies have been elucidated for intracranial tumors during pregnancy; however, no evidence-based protocol is currently available. The plausible recommendation is a CS as the first surgery and the neurosurgical intervention when the patient's neurological status and gestational age allow.http://www.sciencedirect.com/science/article/pii/S2214751922001797PregnancyIntracranial meningiomaCesarean section (C-section)CraniotomyAnesthesiaGiant intracranial meningioma |
| spellingShingle | Seyed Amir H. Javadi Zahid Hossein Khan Farzaneh Keneshlu Mohammad Mirahmadi Eraghi Single session cesarean section and emergent craniotomy in a pregnancy-associated giant intracranial meningioma: A case report and literature review Interdisciplinary Neurosurgery Pregnancy Intracranial meningioma Cesarean section (C-section) Craniotomy Anesthesia Giant intracranial meningioma |
| title | Single session cesarean section and emergent craniotomy in a pregnancy-associated giant intracranial meningioma: A case report and literature review |
| title_full | Single session cesarean section and emergent craniotomy in a pregnancy-associated giant intracranial meningioma: A case report and literature review |
| title_fullStr | Single session cesarean section and emergent craniotomy in a pregnancy-associated giant intracranial meningioma: A case report and literature review |
| title_full_unstemmed | Single session cesarean section and emergent craniotomy in a pregnancy-associated giant intracranial meningioma: A case report and literature review |
| title_short | Single session cesarean section and emergent craniotomy in a pregnancy-associated giant intracranial meningioma: A case report and literature review |
| title_sort | single session cesarean section and emergent craniotomy in a pregnancy associated giant intracranial meningioma a case report and literature review |
| topic | Pregnancy Intracranial meningioma Cesarean section (C-section) Craniotomy Anesthesia Giant intracranial meningioma |
| url | http://www.sciencedirect.com/science/article/pii/S2214751922001797 |
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