title: Choriocarcinoma in Ongoing Pregnancy Presenting with Intracranial Metastasis.
abstract: Choriocarcinoma presents usually as persistent trophoblastic disease, with prognosis worsening with duration from antecedent pregnancy. We present a unique case of a woman with choriocarcinoma who presented in the third trimester of pregnancy with eclampsia. She was managed with magnesium sulphate and underwent a caesarean section. However, she developed seizures in the post-partum period that were further investigated and attributed to intracranial metastatic lesions of Gestational Trophoblastic Neoplasia (GTN). We discussed the diagnostic challenge in this rare case of GTN and the grave potential it can have in such a presentation, as in our patient.
authors.affiliation: Assistant Professor, Department of Obstetrics and Gynecology, PGIMER , Chandigarh, India .
authors.forename: Sujata
authors.initials: S
authors.lastname: Siwatch
authors.affiliation: Professor, Department of Obstetrics and Gynecology, PGIMER , Chandigarh, India .
authors.forename: Vanita
authors.initials: V
authors.lastname: Suri
authors.affiliation: Associate Professor, Department of Obstetrics and Gynecology, PGIMER , Chandigarh, India .
authors.forename: Pooja
authors.initials: P
authors.lastname: Sikka
authors.affiliation: Additional Professor, Department of Obstetrics and Gynecology, PGIMER , Chandigarh, India .
authors.forename: Neelam
authors.initials: N
authors.lastname: Aggarwal
authors.affiliation: Associate Professor, Department of Obstetrics and Gynecology, PGIMER , Chandigarh, India .
authors.forename: Seema
authors.initials: S
authors.lastname: Chopra
keywords: Eclampsia; Gestational trophoblastic disease; Magnesium sulphate