Dysembryoplastic neuroepithelial tumor in pregnancy.
BACKGROUND
Dysembryoplastic neuroepithelial tumor is a rare, low-grade brain tumor that is characterized by intractable, partial seizures of juvenile onset.


METHODS
A 36-year-old pregnant woman with dichorionic, diamniotic twins temporarily lost consciousness at 27 weeks of gestation. Magnetic resonance imaging evaluation showed a 3-cm multicystic nodule in her right temporal lobe that was diagnosed, together with her history of recurrent anxiety attacks, as dysembryoplastic neuroepithelial tumor. The lesion did not enlarge during pregnancy, and healthy male infants were delivered by cesarean at 36 weeks. The tumor was successfully removed 2 months postpartum, and the patient has experienced no further seizures.


CONCLUSIONS
Dysembryoplastic neuroepithelial tumor was conservatively managed during pregnancy without neurosurgical intervention.
Terauchi
Masakazu
M
Department of Comprehensive Reproductive Medicine, Graduate School, Tokyo Medical and Dental University, Bunkyo, Tokyo, Japan. m.terauchi.gyne@tmd.ac.jp
Kubota
Toshiro
T
Aso
Takeshi
T
Maehara
Taketoshi
T
D000328:Adult; D001007:Anxiety; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D018302:Neoplasms, Neuroepithelial / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis*; D011256:Pregnancy Outcome; D011272:Pregnancy, Multiple; D012640:Seizures; D013702:Temporal Lobe / Q000473:pathology; D014427:Twins