Hemangiopericytoma in pregnancy: a case report

Mangiola, Annunziato; Albanese, Alessio; Stefano, M. di; Guerriero, Massimiliano; Gessi, Marco; Anile, Carmelo; Maira, Giulio

doi:10.1007/s11060-004-5181-6

Cited by 7 publications

(10 citation statements)

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“…Glial neoplasms are the most common, followed by meningiomas and acoustic neuromas, all of which have similar frequencies to nonpregnant controls. [14] Hemangiopericytomas, in contrast, represent less than 1% of intracranial tumors, and they are more common in men than in women,[16] which makes their presentation during pregnancy very infrequent.…”

Section: Discussionmentioning

confidence: 99%

“…[34716] Intracranial hemangiopericytomas, in contrast, are a very rare entity that represents 1% of all intracranial tumors, and only one case presenting during pregnancy has been reported in the literature. [1] Physiological changes during pregnancy can exacerbate the symptoms related to the intracranial neoplasm, as well as affect the intracranial pressure. [51214] The management of these lesions is therefore a very complex challenge for the neurosurgeon, because the location and natural history of the tumor, as well as the risks and benefits for both the mother and the fetus, must be taken into consideration.…”

Section: Introductionmentioning

confidence: 99%

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Hemangiopericytoma of the foramen magnum in a pregnant patient: A case report and literature review

2014

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Background:The presentation of intracranial hemangiopericytomas is very rare, and only one case of a hemangiopericytoma during pregnancy has been reported in the literature. The management of these lesions poses a great challenge to the neurosurgeon, since the physiological and hormonal changes of pregnancy can exacerbate the symptoms of this highly vascularized neoplasm and pose different risks to both the mother and the fetus. We report the case of a patient who had sudden onset of intracranial hypertension at the ninth week of gestation due to a hemangiopericytoma of the foramen magnum and review the literature in this regard.Case Description:A 23-year-old female who presented with signs and symptoms of intracranial hypertension at the ninth week of gestation was initially thought to have hyperemesis gravidarum. Because her symptoms persisted, she was found to have intracranial hypertension due to a tumor in the foramen magnum. She was treated by means of derivative surgery to allow for her pregnancy to progress beyond the first trimester, and at the 22nd week of gestation she underwent a sub-occipital craniotomy with partial tumor removal. Pathology was consistent with hemangiopericytoma. Both the mother and the fetus had positive outcomes.Conclusions:To our knowledge, this is the second intracranial hemangiopericytoma presenting during pregnancy to be reported in the literature, and it is the first one of its kind to be located in the foramen magnum and causing severe intracranial hypertension.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Hemangiopericytoma of the foramen magnum in a pregnant patient: A case report and literature review

2014

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“…Vários tipos histológicos de tumores cerebrais associados à gravidez foram descritos na literatura: meningiomas 1,13,14 , gliomas 8,10,11,15 , schwannomas 6 , hemangiopericitomas 5 , hemangioma 16 , tumor neuroecdodérmico primitivo 9 , hemangioblastomas 2,7 , tumor rhabdoide 7 , adenomas hipofisários 6,18-21 , metásta-ses de melanoma, de carcinoma broncogênito e de coriocarcinoma 3,4,6 .…”

Section: Discussionunclassified

“…Esse tanto pode transcorrer por via vaginal como através de parto cesáreo, dependendo de critérios obstétricos. A craniotomia para remoção do tumor é realizada de forma eletiva em um segundo tempo 5,13,15,16 . A paciente 6 se enquadrou nessa situação.…”

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Tumor cerebral e gravidez

Lynch

Emmerich

Kislanov

et al. 2007

Arq. Neuro-Psiquiatr.

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RESUMO -O diagnóstico de um tumor cerebral durante a gravidez é um fato raro que coloca a mãe e o concepto em risco de vida. Objetivo: Avaliar a melhor forma de conduzir uma paciente grávida portadora de um tumor cerebral. Método: Realizamos análise retrospectiva dos prontuários e imagens de seis pacientes grávidas portadoras de tumor cerebral. Resultados: Vários tipos histológicos de tumor cerebral podem estar associados à gravidez. O meningioma é o mais freqüente. Nessa série não observamos óbito cirúrgi-co materno. Em duas pacientes, o parto ocorreu antes da craniotomia e em outras quatro o parto foi realizado após a neurocirurgia. Conclusão: O momento mais adequado para a realização da craniotomia para remoção tumoral irá depender da gravidade do quadro neurológico, do tipo histológico presumível da lesão, e da idade gestacional do embrião. PALAVRAS-CHAVE: gravidez, tumor cerebral, meningioma, microneurocirurgia. Brain tumors and pregnancyABSTRACT -Background: Despite not being a common fact, the occurrence of brain tumors during pregnancy poses a risk to both the mother and infant. Aim: To identify the best medical procedure to be followed for a pregnant patient harboring a brain tumor. Method: The records of 6 patients with brain tumors, diagnosed during pregnancy were examined. Results: Several types of brain tumors have been associated with pregnancy, but the meningioma is, by far, the most frequent. It seems that pregnancy aggravates the clinical course of intracranial tumors. There were no operative mortality in these series. In 2 patients the labor occurred before the craniotomy and in others, the delivery occurred after the surgery. Conclusion: The best moment to recommend the craniotomy and the neurosurgical removal of the tumor will depend of the mother's neurological condition, the tumor histological type as well as the gestational age. RJ -Brasil. E-mail: cneuroamericas@uol.com.br O diagnóstico de um tumor cerebral durante a gravidez é um evento extremamente raro [1][2][3][4][5][6][7][8][9][10][11] . Dr. José Carlos Lynch -Rua Jardim Botânico 600 / 605 -22461-000 Rio de JaneiroO surgimento de um tumor cerebral durante uma gestação coloca a mãe e concepto em risco de vida 4,7,10,11 , e também suscita dilemas de ordem neurocirúrgica, clínica, obstétrica, ética e psicológica. A utilização de uma abordagem multidisciplinar para essas pacientes é fundamental porque se está lidando com pacientes que se encontram em um momento crítico de suas vidas, quando ocorrem profundas mudanças orgânicas e psíquicas.Analisamos seis casos de nossa experiência. MÉTODOEntre os anos de 1996 e 2005, 6 mulheres que se encontravam no período gestacional e com o diagnóstico de tumor cerebral foram tratadas no Serviço de Neurocirurgia do Hospital dos Servidores do Estado (HSE), no Rio de Janeiro.As pacientes também foram acompanhadas pelos serviços de obstetrícia, psicologia e anestesia que discutiram entre si e determinaram, juntamente com as famílias e as pacientes, as condutas que foram instituídas. Todos os pós-oper...

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Misinterpretation of histopathological results as an important risk factor for unneeded surgery – case report of a "near miss" event in a pregnant woman

Løes

Tornes

2008

Patient Saf Surg

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The oral cavity may exhibit a vast number of pathologic conditions, often dealt with by different medical disciplines. Combined with a substantial variation in clinical appearance, an accurate diagnosis may provide difficult to establish in selected cases. Histopathological investigations are therefore mandatory for correct diagnosis and adequate treatment. We describe a common, truly benign condition in the oral cavity, which due to histopathological misinterpretation was planned for major surgery and subsequent chemotherapy. This was avoided by spontaneous regression of the lesion. The case illustrates that uncritical trust in laboratory diagnostic tests may lead to severe mistreatment.

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Hemangiopericytoma in pregnancy: a case report

Cited by 7 publications

References 7 publications

Hemangiopericytoma of the foramen magnum in a pregnant patient: A case report and literature review

Hemangiopericytoma of the foramen magnum in a pregnant patient: A case report and literature review

Tumor cerebral e gravidez

Misinterpretation of histopathological results as an important risk factor for unneeded surgery – case report of a "near miss" event in a pregnant woman

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