Abstract

Background: The clinical aspect of cerebral tumor is a headache, a sign of a growing tumor is nausea, turning into vomiting, frequent dizziness, weakness, drowsiness, mental disorders such as reduced concentration, lack of appetite, a slight increase in body temperature, irritability, aggression. Pregnant women often do not attach importance to these symptoms, since they are often signs of ordinary toxicosis. We report a case of uncomplicated pregnancy, the birth of a healthy mature baby in a patient with a giant tumor of both frontal lobes of the brain, and a case of maternal mortality in the postoperative period. Aim: Aim of the article was to present a rare clinical situation - a case of maternal mortality in a 21-year-old Asian patient with uncomplicated pregnancy which had a planned cesarean section operation due to the presence of a scar on the uterus under epidural anesthesia. On the 2nd postoperative day according to MRT newly diagnosed inoperable giant tumor of both frontal lobes of the brain with a dislocation, which caused the death of the puerpera. Results: probability of the physiological course of pregnancy and the birth of a healthy newborn in the presence of a giant meningioma of the brain (anterior frontal lobe). Case presentation: A case of maternal mortality in a 21-year-old Asian patient with uncomplicated pregnancy which had a planned cesarean section operation due to the presence of a scar on the uterus under epidural anesthesia. On the 2nd day of the postoperative period, an inoperable giant tumor of both frontal lobes of the brain with dislocation was diagnosed according to MRT data. Conclusion: The combination of pregnancy and cerebral tumor is rare, in this case, it is reported about the asymptomatic course of an inoperable cerebral tumor of gigantic size. The diagnosis was confirmed by non-invasive diagnostic methods (MRT). Knowledge of this rare brain disease in pregnant women is important in the differential diagnosis of patients with mental and neurological conditions in the postpartum period.

Highlights

  • One of the most topical issues of obstetric sciences and practice is to study the peculiarities of pregnancy, childbirth, postpartum period, the state of the fetus and newborns in patients with severe extragenital diseases, which are one of the main causes of maternal mortality in the world and Kazakhstan

  • The combination of pregnancy and cerebral tumor is rare, in this case, it is reported about the asymptomatic course of an inoperable cerebral tumor of gigantic size

  • We present a rare clinical case of maternal mortality in a 21year-old Asian patient with uncomplicated pregnancy which had a planned caesarean section due to the presence of a scar on the uterus under epidural anesthesia

Read more

Summary

Introduction

One of the most topical issues of obstetric sciences and practice is to study the peculiarities of pregnancy, childbirth, postpartum period, the state of the fetus and newborns in patients with severe extragenital diseases, which are one of the main causes of maternal mortality in the world and Kazakhstan. Akshulakov, according to statistics, maternal mortality in patients with cerebral tumors reaches 24%. Such combinations as cerebral tumor and pregnancy occur 1 case per 13000-17000 [1]. The article presents a clinical case of detection of a giant tumor of both frontal lobes of the brain in a patient with a scar on the uterus, with the manifestation of the clinic in the postoperative period, remaining clinically “invisible” during the entire gestational period. We report a case of uncomplicated pregnancy, the birth of a healthy mature baby in a patient with a giant tumor of both frontal lobes of the brain, and a case of maternal mortality in the postoperative period

Objectives
Findings
Discussion
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call