Case Report- Meningioma in pregnancy

First author: Dr Aqsa Mandvia Second Author : Dr Asma Sadaqat Third Author: Dr Faseeha

• A 38 years old came at 39 weeks of pregnancy for Elective Caesarean section. At the time of consent taking , she mentioned regarding experiencing double vision and oedema in her hands and feet. No other symptoms such as headache, flashing lights, spots in vision, or weakness/sensory/coordination changes were reported. Moreover, she had uneventful first and second trimesters of pregnancy. Her Blood pressure readings were normal.

Neurological Examination:

• Cranial Nerve 6 palsy: Slow/delayed right lateral eye movement of the right eye with associated diplopia from the midline looking right.
• All other cranial nerves grossly intact.
• Normal sensation, power, and coordination in all limbs.

Ophthalmology Consultation:

• Confirmed Cranial Nerve 6 palsy.
• Normal fundoscopy.

MRI of the Head:

• Likely meningioma in the right prepontine region, possibly encasing the right 6th cranial nerve.
• No evidence of dural sinus thrombosis.

Discussion: This case report describes a pregnant woman who presented with double vision and oedema. The neurological examination revealed a right cranial nerve 6 palsy, suggesting a mass lesion in the right cerebellopontine angle. The MRI confirmed a likely meningioma in this location

 

Conclusion: This case highlights the importance of considering intracranial mass lesions as a possible cause of cranial nerve palsies in pregnant women, even in the absence of other signs of increased intracranial pressure.

 

References:

 

E.A. Lusis, B.W. Scheithauer, A.T. Yachnis, B.R. Fischer, M.R. Chicoine, W. Paulus, A. Perry

Meningiomas in pregnancy: a clinicopathologic study of 17 cases

Neurosurgery., 71 (5) (2012 Nov), pp. 951-961, 10.1227/NEU.0b013e31826adf65  DOI: 10.1227/NEU.0b013e31826adf65

 

A.E. Dumitru, A. Panaitescu, G. Iancu, F.G. Paslaru, A.C. Paslaru, R.M. Gorgan, G. Peltecu

Management strategies and clinical follow-up of pregnant women with intracranial meningioma

J. Med. Life, 14 (1) (2021 Jan-Mar), pp. 2-6, 10.25122/jml-2021-0012 DOI 10.25122/jml-2021-0012