Title: Case of A Rapidly Growing Glioma in Near Term Pregnancy: The Dilemma of Baby First or Tumor First?
Authors: Abhiruchi Patki, MD, PDCC, Anjali Savargaonkar, Vijay R Shrotey MD
DOI: https://dx.doi.org/10.18535/jmscr/v5i2.64
Abstract
A 25 year old primigravida, with a history of 37 weeks of gestation, presented with a 7 day history of progressive left sided weakness. Radiological examination revealed a well defined lesion of 6.4×5×6.2 cm in the right frontoparietal region, with evidence of mass effect. After a detailed assessment of all the available options in timing of both surgeries and the nature of emergency, a plan was made to carry out caesarean section and craniotomy for tumour removal in one single sitting. An attempt to balance smooth induction as required in neuroanaesthesia and rapid sequence intubation as required in obstetric anaesthesia was made.
Keywords: Pregnancy, Brain tumour, glioma, caesarean section.
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