Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case Report

Detalhes bibliográficos
Autor(a) principal: Lanzaro, Camile
Data de Publicação: 2020
Outros Autores: Cavalete, Sónia, Carvalho, Beatriz, Pereira, Eduarda, Dias, Celeste
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25751/rspa.19464
Resumo: Brain tumour incidence during pregnancy is low and type of tumours are similar to those seen in nonpregnant women. Pregnancy may aggravate the natural history of a brain tumour, unmask a previously undiagnosed lesion or remain assymtomatic due to its unspecific symptoms. We report a case of a pregnant woman with a large occult acoustic neuroma diagnosed after presenting neurological symptoms during epidural analgesia for labour. The tumour was causing shift of the peripheral structures and compression of the brainstem and 4th ventricle. In postpartum period, the tumour was removed without complications. Preanesthetic evaluation is essential to rule out contraindications to neuroaxial analgesia or potentially neurological life-threatening conditions.
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spelling Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case ReportNeurinoma do Acústico Gigante Não Diagnosticado numa Grávida Submetida a Analgesia Epidural: Caso ClínicoCaso ClínicoBrain tumour incidence during pregnancy is low and type of tumours are similar to those seen in nonpregnant women. Pregnancy may aggravate the natural history of a brain tumour, unmask a previously undiagnosed lesion or remain assymtomatic due to its unspecific symptoms. We report a case of a pregnant woman with a large occult acoustic neuroma diagnosed after presenting neurological symptoms during epidural analgesia for labour. The tumour was causing shift of the peripheral structures and compression of the brainstem and 4th ventricle. In postpartum period, the tumour was removed without complications. Preanesthetic evaluation is essential to rule out contraindications to neuroaxial analgesia or potentially neurological life-threatening conditions.A incidência de neoplasias cerebrais durante a gravidez é reduzida e o tipo de tumores são semelhantes aos observados em não grávidas. A gravidez pode agravar a história natural de um tumor cerebral ou até mesmo mascarar um tumor não diagnosticado devido aos sintomas inespecíficos. Apresentamos o caso de uma grávida com um neurinoma do acústico gigante oculto diagnosticado após início de sintomas neurológicos durante analgesia epidural no trabalho de parto. A neoplasia causava desvio das estruturas periféricas, compressão do tronco encefálico e do quarto ventrículo. No período pós-parto, a puérpera foi submetida a resseção tumoral sem complicações. A avaliação pré-anestésica é essencial para excluir contra-indicações à analgesia do neuroeixo ou condições neurológicas com potencial risco de vidaSociedade Portuguesa de Anestesiologia2020-04-02T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25751/rspa.19464eng0871-6099Lanzaro, CamileCavalete, SóniaCarvalho, BeatrizPereira, EduardaDias, Celesteinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-23T15:34:50Zoai:ojs.revistas.rcaap.pt:article/19464Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:04:17.293803Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case Report
Neurinoma do Acústico Gigante Não Diagnosticado numa Grávida Submetida a Analgesia Epidural: Caso Clínico
title Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case Report
spellingShingle Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case Report
Lanzaro, Camile
Caso Clínico
title_short Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case Report
title_full Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case Report
title_fullStr Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case Report
title_full_unstemmed Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case Report
title_sort Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case Report
author Lanzaro, Camile
author_facet Lanzaro, Camile
Cavalete, Sónia
Carvalho, Beatriz
Pereira, Eduarda
Dias, Celeste
author_role author
author2 Cavalete, Sónia
Carvalho, Beatriz
Pereira, Eduarda
Dias, Celeste
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Lanzaro, Camile
Cavalete, Sónia
Carvalho, Beatriz
Pereira, Eduarda
Dias, Celeste
dc.subject.por.fl_str_mv Caso Clínico
topic Caso Clínico
description Brain tumour incidence during pregnancy is low and type of tumours are similar to those seen in nonpregnant women. Pregnancy may aggravate the natural history of a brain tumour, unmask a previously undiagnosed lesion or remain assymtomatic due to its unspecific symptoms. We report a case of a pregnant woman with a large occult acoustic neuroma diagnosed after presenting neurological symptoms during epidural analgesia for labour. The tumour was causing shift of the peripheral structures and compression of the brainstem and 4th ventricle. In postpartum period, the tumour was removed without complications. Preanesthetic evaluation is essential to rule out contraindications to neuroaxial analgesia or potentially neurological life-threatening conditions.
publishDate 2020
dc.date.none.fl_str_mv 2020-04-02T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.25751/rspa.19464
url https://doi.org/10.25751/rspa.19464
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0871-6099
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
publisher.none.fl_str_mv Sociedade Portuguesa de Anestesiologia
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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