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Meningioma during pregnancy: a case report
Segundo Joel Cardenas-Goicoechea1, Robert H Debbs
1Department of Obstetrics and Gynecology, Pennsylvania Hospital, and the University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA. joelcardenas@yahoo.com
Background:
The diagnosis and management of meningioma during pregnancy is challenging, and a multidisciplinary approach is warranted. We present a case of meningioma during pregnancy with one year of follow-up.
Case:
A 37-year-old, Caucasian female who presented at 28 weeks' gestation with meningioma was managed conservatively until 31.4 weeks' gestation. Worsening symptoms prompted cesarean delivery. Nine days after childbirth a craniotomy was performed due to worsening of her symptoms. Subsequent treatment included proton therapy with dramatic results.
Conclusion:
The diagnosis of meningioma during pregnancy represents a challenge, with growth and regression both reported.
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