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Pregnancy and brain tumors; a systematic review of the literature.
Molina-Botello, Diego; Rodríguez-Sanchez, Jesus René; Cuevas-García, Jesús; Cárdenas-Almaraz, Bárbara Victoria; Morales-Acevedo, Adrian; Mejía-Pérez, Sonia Iliana; Ochoa-Martinez, Edith.
Afiliação
  • Molina-Botello D; Department of Neurological Surgery, National Institute of Neurology and Neurosurgery "Manuel Velasco Suarez" (INNN), 3877 Insurgentes Sur Av, La Fama, Tlalpan, 14269 Mexico City, Mexico; Universidad Anáhuac México, Av Universidad Anáhuac 46, Lomas Anáhuac, 52786 Naucalpan de Juárez, Mexico.
  • Rodríguez-Sanchez JR; Department of Neurological Surgery, National Institute of Neurology and Neurosurgery "Manuel Velasco Suarez" (INNN), 3877 Insurgentes Sur Av, La Fama, Tlalpan, 14269 Mexico City, Mexico.
  • Cuevas-García J; Department of Neuroanesthesia, National Institute of Neurology and Neurosurgery "Manuel Velasco Suarez" (INNN), 3877 Insurgentes Sur Av, La Fama, Tlalpan, 14269 Mexico City, Mexico.
  • Cárdenas-Almaraz BV; Universidad Anáhuac México, Av Universidad Anáhuac 46, Lomas Anáhuac, 52786 Naucalpan de Juárez, Mexico.
  • Morales-Acevedo A; Hospital Angeles México, Agrarismo 208, Escandón II Secc, Miguel Hidalgo, 11800 México City, Mexico.
  • Mejía-Pérez SI; Department of Neurological Surgery, National Institute of Neurology and Neurosurgery "Manuel Velasco Suarez" (INNN), 3877 Insurgentes Sur Av, La Fama, Tlalpan, 14269 Mexico City, Mexico.
  • Ochoa-Martinez E; Department of Neuroanesthesia, National Institute of Neurology and Neurosurgery "Manuel Velasco Suarez" (INNN), 3877 Insurgentes Sur Av, La Fama, Tlalpan, 14269 Mexico City, Mexico. Electronic address: ochoa.martinez.edithe@gmail.com.
J Clin Neurosci ; 86: 211-216, 2021 Apr.
Article em En | MEDLINE | ID: mdl-33775330
The incidence of primary brain tumors during pregnancy is uncommon. The etiology of these can range from different genetic syndromes such as Li Fraumeni, neurofibromatosis type I, and hormonal associated tumors. The number of meningiomas gradually tends to increase during pregnancy, suggesting a relationship between non-malignant meningiomas and hormonal changes. Clinical features are non specific or can be misinterpreted with pregnancy symptoms such as headache, vomiting and dizziness. It is worth mentioning that the symptoms due to intracranial tumors are no different in pregnant compared with non pregnant patients. However, retrospective studies in glioma behavior suggested that both tumor volume and growth, increased during pregnancy. These changes were correlated with clinical worsening and increased frequency of seizures. The diagnosis requires a proper neurologic exploration and the support of imaging studies. Treatment of tumors is very controversial since we look for the preservation of both mother and fetus. In theory, the best therapy for the mother will also be the best therapy for the fetus. During pregnancy, ideally the treatment is symptomatic, to preserve the fetus, and definite treatment may be performed after birth; the latter is not always accomplished since patients may present with impending herniation or a malignant tumor for which immediate management is necessary. We intend to give an updated review in the literature on the adequate treatment of brain tumors during pregnancy and the anesthetic management during the definite treatment. Literature data was obtained from Pubmed using the search terms: "Pregnancy", "Brain", "Tumors". A total of forty-three articles were selected.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Neoplásicas na Gravidez / Neoplasias Encefálicas Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies / Systematic_reviews Limite: Female / Humans / Pregnancy Idioma: En Revista: J Clin Neurosci Assunto da revista: NEUROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações Neoplásicas na Gravidez / Neoplasias Encefálicas Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies / Systematic_reviews Limite: Female / Humans / Pregnancy Idioma: En Revista: J Clin Neurosci Assunto da revista: NEUROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido