Vaginal delivery using cranioclasia following prenatal diagnosis of a giant fetal intracranial teratoma.
Intracranial teratoma, although a rare disease, is nonetheless the most common of the congenital tumors of the central nervous system in the neonatal period. It can be diagnosed antenatally by ultrasound. The prognosis for fetal forms of teratoma is very grim. We report here the case of an immature teratoma identified at 26 weeks' gestation and discuss its obstetric consequences, in particular, the technical procedures for a medically-indicated termination of pregnancy in view of the massive increase in head circumference associated with this tumor.
Vibert-Guigue
Claude
C
Service de Gynécologie Obstétrique, Centre Pluridisciplinaire de Diagnostic Prénatal, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris, Université Pierre et Marie Curie, Paris, France.
Gonzales
Marie
M
Gouellet
Nicodème
N
Zirah
Clément
C
Milliez
Jacques
J
Carbonne
Bruno
B
D000028:Abortion, Induced / Q000379:methods*; D000328:Adult; D001932:Brain Neoplasms / Q000151:congenital* / Q000175:diagnosis / Q000000981:diagnostic imaging*; D001946:Breech Presentation; D005260:Female; D005313:Fetal Death; D005865:Gestational Age; D006801:Humans; D008279:Magnetic Resonance Imaging; D006831:Polyhydramnios / Q000000981:diagnostic imaging; D011247:Pregnancy; D013724:Teratoma / Q000151:congenital* / Q000175:diagnosis / Q000000981:diagnostic imaging*; D016216:Ultrasonography, Prenatal