Related Experiment Video
Updated: May 14, 2026
03:13
Endoscopic Third Ventriculostomy and Pineal Biopsy from a Single Entry Point
Published on: June 28, 2024
Recurrent exophytic meningioma in pregnancy
Michelle S Chow1, Philippe A Mercier, David A Omahen
1Department of Obstetrics & Gynecology, Foothills Hospital, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada.
Obstetrics and Gynecology
|January 25, 2013
Summary
Pregnancy can accelerate meningioma growth and recurrence, as seen in a case of a recurrent meningioma in a woman during two pregnancies. Surgical treatment during pregnancy is feasible with a multidisciplinary approach.
Area of Science:
- Neuro-oncology
- Reproductive Medicine
Background:
- Meningiomas are typically slow-growing intracranial tumors.
- Hormonal fluctuations during pregnancy can influence meningioma growth and recurrence.
- This case highlights meningioma presentation and management during gestation.
Observation:
- A 35-year-old woman experienced a recurrent meningioma during two separate pregnancies.
- Symptoms included neurological decline and an enlarging forehead mass during the third trimester.
- Emergency craniotomy was performed for a massive extra-axial tumor.
Findings:
- Pathology confirmed a grade I meningioma with progesterone receptor positivity.
- The patient experienced significant blood loss during surgery.
- Both mother and fetus had favorable outcomes, with delivery at 38 weeks.
Implications:
- Pregnancy is a significant risk factor for accelerated meningioma growth and recurrence.
- Timely surgical intervention during pregnancy is possible and effective.
- A multidisciplinary team approach is crucial for managing meningiomas in pregnant patients.
Related Concept Videos
01:19Mitral Valve Prolapse III: Nursing Management
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
01:19Encephalitis l: Introduction
Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
01:26Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
01:22Bacterial Meningitis I: Introduction
Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
01:18Viral Meningitis
Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
01:19Cranial and Spinal Meninges
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...