Ependymoma in pregnancy: one suspicion can save a life

Authors

  • Ankita Pandey Department of Obstetrics & Gynaecology, LTMMC & GH, Sion, Mumbai, Maharashtra, India
  • Prasad Yeshwant Deshmukh Department of Obstetrics & Gynaecology, LTMMC & GH, Sion, Mumbai, Maharashtra, India
  • Madhuri Mehendale Department of Obstetrics & Gynaecology, LTMMC & GH, Sion, Mumbai, Maharashtra, India
  • Y. S. Nandanwar Department of Obstetrics & Gynaecology, LTMMC & GH, Sion, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20150105

Keywords:

Neuroependymoma, Ventriculoperitoneal shunt, Decompression, Intracranial tension

Abstract

Ependymomas arise from ependymal cells that line the ventricles of the brain and the spinal canal. Ependymomas are relatively rare tumors accounting for 2-3% of all primary brain tumors in adults. We present this case of ependymoma to highlight the fact that aggressive management might be keystone in saving mothers life and even after surgical intervention, it is possible that the tumour recurs and may prove fatal. Maternal outcome in primary brain tumours in pregnancy largely depend on histologic grade of primary tumour and gestational age at which they present.

References

American College of Radiology. Guidelines for imaging pregnant women with ionizing radiation. In: ARC, eds. ARC Guideline. Reston, VA: ARC Council; 2008

Roelvink NC, Kamphorst W, Van Alphen HA. Pregnancy related primary brain and spinal tumours. Arch Neurol. 1987;44(2):209-15.

Vilano JL, Parker CK, Dolecek TA. Descriptive epidemiology of brain tumours. Br J Cancer. 2013;108(11):2367-71.

Dützmann S, Schatlo B, Lobrinus A, Murek M, Wostrack M, Weiss C, et al. A retrospective analysis of quality of life in adult patients with cranial ependymoma. J Neurooncol. 2013;114(3):319-27.

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Published

2017-02-08

Issue

Section

Case Reports