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Spinal meningioma becoming symptomatic in the third trimester of pregnancy

Stylianos Pikis1, José E Cohen, Guy Rosenthal

  • 1Department of Neurosurgery, Hadassah-Hebrew University Medical Center, P.O. Box 12000, Jerusalem 91120, Israel.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|October 8, 2013
PubMed

We report a rare case of a spinal meningioma leading to symptoms of spinal cord compression starting in the third trimester of gestation in a 32-year-old woman. Neurological symptoms, which continued to progress after the patient had given birth, were assumed to be sequelae of pregnancy and delivery, leading to a 6 month delay in diagnosis and treatment. Fortunately a gross total resection was achieved at surgery and the patient recovered fully, without permanent consequences. Associated symptoms of spinal cord compression may be falsely attributed to pregnancy, both by the pregnant women and her treating physician. A high index of suspicion and thorough history and physical examination to identify red flags should be performed in patients with neurological symptoms.

Keywords:
PregnancySpinal cord compressionSpinal meningioma

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