COVID-19 pregnant woman with widespread neurofibromatosis and suprasellar craniopharyngioma presenting for in labour: A challenging scenario

Abstract

A 29 year old G3P2L2 presented at term in active labour and was tested to be COVID-19 positive. On examination she had multiple papules all over the limbs /abdomen; groin freckles and café au lait spots on the abdomen/lower limbs. She was evaluated for these lesions for the first time in this pregnancy at 20 weeks gestation and MRI brain had shown supra-sellarcraniopharyngioma. She didn’t return for ophthalmology/neurology opinion due to pandemic restrictions. So how does one deliver this patient?. Can vaginal delivery be allowed in the scenario of craniopharyngioma and the possibility of raised intracranial pressure during Valsalva?.