Imaging of acute neurological conditions in pregnancy and the puerperium

Dineen, Robert A.; Banks, A. Lawrence; Lenthall, Robert

doi:10.1016/j.crad.2005.03.010

Cited by 22 publications

(22 citation statements)

References 40 publications

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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

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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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Section: Discussionunclassified

“…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] .…”

unclassified

Tumor cerebral e gravidez

Lynch

Emmerich

Kislanov

et al. 2007

Arq. Neuro-Psiquiatr.

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“…13 With regard to other commonly used diagnostic imaging modalities, there is essentially no formalized data regarding fetal safety when these technologies used to evaluate the brain. However, there are number of reviews looking at CT, CT angiography, and MRI in the thorax and abdomen which do not reveal significant trends in terms of fetal malformations or cognitive deficits.…”

Section: Migrainementioning

confidence: 99%

“…68 There is likely some shared pathophysiology between hypertensive encephalopathy, PRES, and eclampsia, given the overlapping presentations and clinical findings. 13,69 Diagnosis of PRES is greatly facilitated by neuroimaging as the typical finding of symmetrical leukoencephalopathy defines the classical syndrome in the setting of an appropriate clinical picture. In the archetypical presentation of PRES bilateral symmetrical areas of edema in the parietal-occipital regions are apparent on CT or MRI imaging.…”

Section: Posterior Reversible Encephalopathy Syndromementioning

confidence: 99%

“…The need for neuroimaging complicates the evaluation in the eyes of many practitioners but obtaining an initial study with a noncontrast head computerized tomography (CT) with appropriate fetal shielding or an magnetic resonance imaging (MRI) of the brain greatly facilitates diagnosis with minimal risk to the fetus. 13,14 The primary treatment for ischemic stroke is administration of tissue plasminogen activator (tPA). However, pregnant patients were excluded from tPA clinical trials and there has been no systematic study of the treatment in this population.…”

Section: Strokementioning

confidence: 99%

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Acute Neurological Issues in Pregnancy and the Peripartum

Hosley

McCullough

2011

The Neurohospitalist

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Acute neurological diseases requiring hospitalization are relatively rare in women of childbearing age. However, during pregnancy and the postpartum period, several diseases increase in prevalence. Some are unique to the pregnant/postpartum state including preeclampsia and delivery-associated neuropathies. Others, although indirectly related to pregnancy, such as cerebral venous thrombosis, ischemic stroke, and intracerebral hemorrhage, increase in frequency and carry considerable risk of morbidity and mortality. In addition, treatment options are often limited. This review discusses the diseases more commonly seen during pregnancy and the postpartum period, with a focus on emergent neurological diseases and their management. Interventional therapies will also be discussed.

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Neuroimaging

Delfyett¹,

Fetzer²

2015

Neurological Illness in Pregnancy

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Imaging of acute neurological conditions in pregnancy and the puerperium

Cited by 22 publications

References 40 publications

Tumor cerebral e gravidez

Tumor cerebral e gravidez

Acute Neurological Issues in Pregnancy and the Peripartum

Neuroimaging

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