title: Surgical management of tuberculum sellae meningioma in a patient with a twin pregnancy: case report.
abstract: BACKGROUND
  Meningioma in twin pregnancy is rare. The tumor has an accelerated growth during the pregnancy and may enlarge or become symptomatic during this period. This relationship makes management of patients with this tumor quite challenging.
  
  
  METHODS
  We describe a case of a rapidly deteriorating 35-year-old woman harboring an extensive tuberculum sellae meningioma who underwent craniotomy during the 24th week of pregnancy because of rapid deterioration. The surgical procedure and postoperative period were relatively uneventful.
  
  
  CONCLUSIONS
  To the best of our knowledge, this is the first reported case of surgical management of a meningioma in a patient carrying a twin pregnancy (one missed abortus). When indicated, craniotomy is a safe and effective treatment option for huge frontobasal tumors during the second trimester of pregnancy.
authors.affiliation: Division of Neurological Surgery, Department of Surgery, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Nigeria.
authors.forename: O E
authors.initials: OE
authors.lastname: Idowu
authors.forename: M T
authors.initials: MT
authors.lastname: Shokunbi
authors.forename: S D
authors.initials: SD
authors.lastname: Amanor-Boadu
authors.forename: O A
authors.initials: OA
authors.lastname: Roberts
authors.forename: C
authors.initials: C
authors.lastname: Eyo
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008577:Meningeal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008579:Meningioma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011272:Pregnancy, Multiple; D011859:Radiography; D012658:Sella Turcica / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014427:Twins