Abstract

COURET CABRERA, Martha Patricia et al. Brain tumor and pregnancy. Rev Cubana Obstet Ginecol [online]. 2013, vol.39, n.4, pp.396-403. ISSN 0138-600X.

Introduction: the association of cancer with a pregnancy involves two vital forecasts: mother and her fetus. Objective: to describe a case of a patient with brain tumor associated with pregnancy. Methods: A 34 year- old female patient, who was nulliparous, and at 25 weeks of pregnancy was diagnosed with a brain tumor. She underwent a posterior fossa craniectomy, bulbotomy and cyst evacuation at Hermanos Ameijeiras hospital in Havana. At 31 weeks of her gestational stage, she was sent to the Ramón González Coro Maternity hospital for monitoring fetal and maternal well-being with the recommendation of elective cesarean if possible at the end of gestation as it was neurologically indicated. Lung maturity fetal inducers were used by the possibility of terminating this pregnancy before term. This pregnancy uneventfully progressed until 38 weeks of gestation, when Caesarean section was conducted. Results: a live female infant was obtained; she weighed 2 600 g and had Apgar 9/9. Mother and infant recovered satisfactorily to discharge. This mother was referred back to Hermanos Ameijeiras hospital for postoperative monitoring and control. Conclusions: the presence of a brain tumor associated with pregnancy carries a high risk of morbidity and maternal and perinatal mortality, therefore this issue requires a multidisciplinary approach to achieve optimal results.

Keywords : brain tumor; malignant glioma; pregnancy; ganglioma bulbar; craniectomy.

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