Posterior fossa surgery in the sitting position in a pregnant patient with cerebellopontine angle meningioma.
Primary brain tumours and pregnancy rarely occur together; meningioma and pregnancy is rarer still. We describe a 30-yr-old woman in the 25th week of pregnancy who underwent surgery in the sitting position for a large cerebellopontine angle meningioma that was compressing and displacing the pons and medulla. The surgical procedure and postoperative period were uneventful. This case demonstrates that when absolutely necessary, anaesthesia and neurosurgery for posterior fossa lesions can be successful during the second trimester of pregnancy. Furthermore, if indicated and if the operating team is experienced, the operation can be performed safely with the patient in the classical sitting position. It is emphasized that continuous and attentive monitoring of the mother and fetus are essential.
Giannini
A
A
Divisione di Neuroanestesia e Neurorianimazione, Istituto Nazionale Neurologico C. Besta, Milano, Italy.
Bricchi
M
M
D000328:Adult; D000768:Anesthesia, General / Q000379:methods; D000773:Anesthesia, Obstetrical / Q000379:methods*; D002528:Cerebellar Neoplasms / Q000737:chemistry / Q000175:diagnosis / Q000601:surgery*; D002530:Cerebellopontine Angle; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000737:chemistry / Q000175:diagnosis / Q000601:surgery*; D008579:Meningioma / Q000737:chemistry / Q000175:diagnosis / Q000601:surgery*; D011187:Posture; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000601:surgery*; D011262:Pregnancy Trimester, Second; D011960:Receptors, Estrogen / Q000032:analysis; D011980:Receptors, Progesterone / Q000032:analysis
D011960:Receptors, Estrogen; D011980:Receptors, Progesterone