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Anaesthetic management of a pregnant patient undergoing meningioma resection: A case report

Oscar Duffy1, Mahfouz Sharapi2, Thomas Drew3,4

  • 1Anaesthesiology Specialist Registrar Beaumont Hospital, Dublin, Ireland.

SAGE Open Medical Case Reports
|June 12, 2024
PubMed

The management of intracranial malignancies in pregnancy poses unique challenges to the perioperative team. We describe the successful surgical management of a meningioma in a 28-year-old previously healthy patient, in her third trimester of pregnancy, who first presented with a generalised seizure. Without clear guidelines on the management of intracranial malignancies in pregnancy, a multidisciplinary approach was essential in providing a management plan for the patient's seizures and on the timing of her surgical intervention. Hormone-mediated tumour growth was a significant factor in opting for urgent surgical intervention and we discuss the current evidence linking hormones to tumour growth in pregnancy.

Keywords:
Meningiomaanaesthesiacaesarean sectionfetal monitoringintracranial hypertensionobstetricalpregnancy-associated

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