Prenatal ultrasound diagnosis of an intracranial teratoma influencing management: case report and review of the literature.
Of seventeen cases of prenatally diagnosed intracranial teratomas, fourteen babies were delivered through a cesarean section. All children died before or shortly after delivery. In this report another case is presented of ultrasound diagnosis of an intracranial teratoma. The teratoma filled the whole fetal cranium, and eroded through the skull base into the left maxillary region. In full agreement with the wishes of the parents, conservative management resulted in the spontaneous vaginal delivery of a fetus that died during labor as a result of brain compression and acidosis during the second stage. In contrast with other cases in the literature, no encephalocentesis was performed. In order to minimize maternal morbidity, it is advised to induce or accept labor as soon as the diagnosis is clear and to pursue a vaginal delivery.
ten Broeke
E D
ED
Department of Obstetrics and Gynecology, St. Elisabeth Clinic, School for Midwifery, Heerlen, Netherlands.
Verdonk
G W
GW
Roumen
F J
FJ
D000328:Adult; D001932:Brain Neoplasms / Q000000981:diagnostic imaging* / Q000196:embryology; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D011247:Pregnancy; D013724:Teratoma / Q000000981:diagnostic imaging* / Q000196:embryology; D016216:Ultrasonography, Prenatal