Brain tumor in differential diagnosis of seizures in puerperium : case report
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/195784 |
Resumo: | Convulsive crisis is a transient disturbance of cerebral function, and the etiology of which may be manifold. Its clarification is essential for establishing adequate therapy and seizure control. In the pregnancy-puerperal cycle, eclampsia is the most common cause of it, but brain tumor, epilepsy and other disorders are part of the differential diagnosis. We report a case of seizure triggered by tumor in a primigest, 22 years old, at 38 weeks’ gestation with premature rupture of membranes. Cesarean section was performed due to non-reassuring fetal condition. On the second day of puerperium, she presented recurrent episodes of generalized tonic-clonic seizures and elevated blood pressure. She received magnesium sulfate for 24 hours and persisted with severe headache. Magnetic resonance imaging of the brain showed an expansive lesion in the left frontoparietal region. The patient underwent intracranial microsurgery on the eighth day after cesarean section, with complete resection of the lesion and anatomopathological diagnosis of schwannoma. She went through good postoperative evolution, without neurological deficits, and stayed on phenobarbital, with no seizures until 6 months of follow-up. From the case we conclude that although the first diagnosis in pregnant or puerperal women with seizures should be eclampsia, there are other causes, such as brain tumor and Posterior Reversible Encephalopathy Syndrome (PRES). Careful evaluation is required, especially in refractory cases and not responding to usual treatment. |
id |
UFRGS-2_c12ed21860a60bc5669b3ff9f7ca4b42 |
---|---|
oai_identifier_str |
oai:www.lume.ufrgs.br:10183/195784 |
network_acronym_str |
UFRGS-2 |
network_name_str |
Repositório Institucional da UFRGS |
repository_id_str |
|
spelling |
Pezzali, Luíza GuazzelliRostirolla, Gabriela FrançoesLuiz, Carina BauerGomes, Lúcio BrandãoRivero, Raquel CamaraValério, Edimárlei GonsalesVettorazzi, Janete2019-06-14T02:31:02Z20191874-205Xhttp://hdl.handle.net/10183/195784001095376Convulsive crisis is a transient disturbance of cerebral function, and the etiology of which may be manifold. Its clarification is essential for establishing adequate therapy and seizure control. In the pregnancy-puerperal cycle, eclampsia is the most common cause of it, but brain tumor, epilepsy and other disorders are part of the differential diagnosis. We report a case of seizure triggered by tumor in a primigest, 22 years old, at 38 weeks’ gestation with premature rupture of membranes. Cesarean section was performed due to non-reassuring fetal condition. On the second day of puerperium, she presented recurrent episodes of generalized tonic-clonic seizures and elevated blood pressure. She received magnesium sulfate for 24 hours and persisted with severe headache. Magnetic resonance imaging of the brain showed an expansive lesion in the left frontoparietal region. The patient underwent intracranial microsurgery on the eighth day after cesarean section, with complete resection of the lesion and anatomopathological diagnosis of schwannoma. She went through good postoperative evolution, without neurological deficits, and stayed on phenobarbital, with no seizures until 6 months of follow-up. From the case we conclude that although the first diagnosis in pregnant or puerperal women with seizures should be eclampsia, there are other causes, such as brain tumor and Posterior Reversible Encephalopathy Syndrome (PRES). Careful evaluation is required, especially in refractory cases and not responding to usual treatment.application/pdfengThe Open neurology journal. Sharjah. vol. 13 (2019), p. 67-71Neoplasias encefálicasConvulsõesPeríodo pós-partoSeizurePuerperiumBrain tumorEclampsiaCase reportCerebral functionBrain tumor in differential diagnosis of seizures in puerperium : case reportEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001095376.pdf.txt001095376.pdf.txtExtracted Texttext/plain19380http://www.lume.ufrgs.br/bitstream/10183/195784/2/001095376.pdf.txt34549a40e6a94c2ac2e53e7d6018f3e6MD52ORIGINAL001095376.pdfTexto completo (inglês)application/pdf522127http://www.lume.ufrgs.br/bitstream/10183/195784/1/001095376.pdf8d75568f4c78c999279aa10b82908b2bMD5110183/1957842019-06-15 02:32:25.859216oai:www.lume.ufrgs.br:10183/195784Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2019-06-15T05:32:25Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Brain tumor in differential diagnosis of seizures in puerperium : case report |
title |
Brain tumor in differential diagnosis of seizures in puerperium : case report |
spellingShingle |
Brain tumor in differential diagnosis of seizures in puerperium : case report Pezzali, Luíza Guazzelli Neoplasias encefálicas Convulsões Período pós-parto Seizure Puerperium Brain tumor Eclampsia Case report Cerebral function |
title_short |
Brain tumor in differential diagnosis of seizures in puerperium : case report |
title_full |
Brain tumor in differential diagnosis of seizures in puerperium : case report |
title_fullStr |
Brain tumor in differential diagnosis of seizures in puerperium : case report |
title_full_unstemmed |
Brain tumor in differential diagnosis of seizures in puerperium : case report |
title_sort |
Brain tumor in differential diagnosis of seizures in puerperium : case report |
author |
Pezzali, Luíza Guazzelli |
author_facet |
Pezzali, Luíza Guazzelli Rostirolla, Gabriela Françoes Luiz, Carina Bauer Gomes, Lúcio Brandão Rivero, Raquel Camara Valério, Edimárlei Gonsales Vettorazzi, Janete |
author_role |
author |
author2 |
Rostirolla, Gabriela Françoes Luiz, Carina Bauer Gomes, Lúcio Brandão Rivero, Raquel Camara Valério, Edimárlei Gonsales Vettorazzi, Janete |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Pezzali, Luíza Guazzelli Rostirolla, Gabriela Françoes Luiz, Carina Bauer Gomes, Lúcio Brandão Rivero, Raquel Camara Valério, Edimárlei Gonsales Vettorazzi, Janete |
dc.subject.por.fl_str_mv |
Neoplasias encefálicas Convulsões Período pós-parto |
topic |
Neoplasias encefálicas Convulsões Período pós-parto Seizure Puerperium Brain tumor Eclampsia Case report Cerebral function |
dc.subject.eng.fl_str_mv |
Seizure Puerperium Brain tumor Eclampsia Case report Cerebral function |
description |
Convulsive crisis is a transient disturbance of cerebral function, and the etiology of which may be manifold. Its clarification is essential for establishing adequate therapy and seizure control. In the pregnancy-puerperal cycle, eclampsia is the most common cause of it, but brain tumor, epilepsy and other disorders are part of the differential diagnosis. We report a case of seizure triggered by tumor in a primigest, 22 years old, at 38 weeks’ gestation with premature rupture of membranes. Cesarean section was performed due to non-reassuring fetal condition. On the second day of puerperium, she presented recurrent episodes of generalized tonic-clonic seizures and elevated blood pressure. She received magnesium sulfate for 24 hours and persisted with severe headache. Magnetic resonance imaging of the brain showed an expansive lesion in the left frontoparietal region. The patient underwent intracranial microsurgery on the eighth day after cesarean section, with complete resection of the lesion and anatomopathological diagnosis of schwannoma. She went through good postoperative evolution, without neurological deficits, and stayed on phenobarbital, with no seizures until 6 months of follow-up. From the case we conclude that although the first diagnosis in pregnant or puerperal women with seizures should be eclampsia, there are other causes, such as brain tumor and Posterior Reversible Encephalopathy Syndrome (PRES). Careful evaluation is required, especially in refractory cases and not responding to usual treatment. |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-06-14T02:31:02Z |
dc.date.issued.fl_str_mv |
2019 |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10183/195784 |
dc.identifier.issn.pt_BR.fl_str_mv |
1874-205X |
dc.identifier.nrb.pt_BR.fl_str_mv |
001095376 |
identifier_str_mv |
1874-205X 001095376 |
url |
http://hdl.handle.net/10183/195784 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
The Open neurology journal. Sharjah. vol. 13 (2019), p. 67-71 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFRGS instname:Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
instname_str |
Universidade Federal do Rio Grande do Sul (UFRGS) |
instacron_str |
UFRGS |
institution |
UFRGS |
reponame_str |
Repositório Institucional da UFRGS |
collection |
Repositório Institucional da UFRGS |
bitstream.url.fl_str_mv |
http://www.lume.ufrgs.br/bitstream/10183/195784/2/001095376.pdf.txt http://www.lume.ufrgs.br/bitstream/10183/195784/1/001095376.pdf |
bitstream.checksum.fl_str_mv |
34549a40e6a94c2ac2e53e7d6018f3e6 8d75568f4c78c999279aa10b82908b2b |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS) |
repository.mail.fl_str_mv |
|
_version_ |
1801224968607891456 |