Uncomplicated Pregnancy and Birth of a Healthy Mature Newborn with a Giant Tumor of Both Frontal Lobes of the Brain with Dislocation: Medical History

Saule Issenova, GANI ZHANDIYAROVICH BODYKOV, Balzira Bishekova, Б.К. Кабыл, Saparaliyeva Aizhan Mukhtarkyzy, Aigul Kazybayeva

2021

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DOI 10.29333/ejgm/11337
Data confidence 70 medium
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Abstract

Background: The clinical aspect of cerebral tumor is a headache, a sign of a growing tumor is nausea, turning into vomiting, frequent dizziness, weakness, drowsiness, mental disorders such as reduced concentration, lack of appetite, a slight increase in body temperature, irritability, aggression. Pregnant women often do not attach importance to these symptoms, since they are often signs of ordinary toxicosis. We report a case of uncomplicated pregnancy, the birth of a healthy mature baby in a patient with a giant tumor of both frontal lobes of the brain, and a case of maternal mortality in the postoperative period. Aim: Aim of the article was to present a rare clinical situation - a case of maternal mortality in a 21-year-old Asian patient with uncomplicated pregnancy which had a planned cesarean section operation due to the presence of a scar on the uterus under epidural anesthesia. On the 2nd postoperative day according to MRT newly diagnosed inoperable giant tumor of both frontal lobes of the brain with a dislocation, which caused the death of the puerpera. Results: probability of the physiological course of pregnancy and the birth of a healthy newborn in the presence of a giant meningioma of the brain (anterior frontal lobe). Case presentation: A case of maternal mortality in a 21-year-old Asian patient with uncomplicated pregnancy which had a planned cesarean section operation due to the presence of a scar on the uterus under epidural anesthesia. On the 2nd day of the postoperative period, an inoperable giant tumor of both frontal lobes of the brain with dislocation was diagnosed according to MRT data. Conclusion: The combination of pregnancy and cerebral tumor is rare, in this case, it is reported about the asymptomatic course of an inoperable cerebral tumor of gigantic size. The diagnosis was confirmed by non-invasive diagnostic methods (MRT). Knowledge of this rare brain disease in pregnant women is important in the differential diagnosis of patients with mental and neurological conditions in the postpartum period.