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Spinal meningioma becoming symptomatic in the third trimester of pregnancy.
J Clin Neurosci. 2013 Dec; 20(12):1797-9.JC

Abstract

We report a rare case of a spinal meningioma leading to symptoms of spinal cord compression starting in the third trimester of gestation in a 32-year-old woman. Neurological symptoms, which continued to progress after the patient had given birth, were assumed to be sequelae of pregnancy and delivery, leading to a 6 month delay in diagnosis and treatment. Fortunately a gross total resection was achieved at surgery and the patient recovered fully, without permanent consequences. Associated symptoms of spinal cord compression may be falsely attributed to pregnancy, both by the pregnant women and her treating physician. A high index of suspicion and thorough history and physical examination to identify red flags should be performed in patients with neurological symptoms.

Authors+Show Affiliations

Department of Neurosurgery, Hadassah-Hebrew University Medical Center, P.O. Box 12000, Jerusalem 91120, Israel.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24094360

Citation

Pikis, Stylianos, et al. "Spinal Meningioma Becoming Symptomatic in the Third Trimester of Pregnancy." Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, vol. 20, no. 12, 2013, pp. 1797-9.
Pikis S, Cohen JE, Rosenthal G, et al. Spinal meningioma becoming symptomatic in the third trimester of pregnancy. J Clin Neurosci. 2013;20(12):1797-9.
Pikis, S., Cohen, J. E., Rosenthal, G., Barzilay, Y., Kaplan, L., Shoshan, Y., & Itshayek, E. (2013). Spinal meningioma becoming symptomatic in the third trimester of pregnancy. Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, 20(12), 1797-9. https://doi.org/10.1016/j.jocn.2013.08.001
Pikis S, et al. Spinal Meningioma Becoming Symptomatic in the Third Trimester of Pregnancy. J Clin Neurosci. 2013;20(12):1797-9. PubMed PMID: 24094360.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spinal meningioma becoming symptomatic in the third trimester of pregnancy. AU - Pikis,Stylianos, AU - Cohen,José E, AU - Rosenthal,Guy, AU - Barzilay,Yair, AU - Kaplan,Leon, AU - Shoshan,Yigal, AU - Itshayek,Eyal, Y1 - 2013/08/14/ PY - 2013/07/28/received PY - 2013/08/07/accepted PY - 2013/10/8/entrez PY - 2013/10/8/pubmed PY - 2014/7/11/medline KW - Pregnancy KW - Spinal cord compression KW - Spinal meningioma SP - 1797 EP - 9 JF - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JO - J Clin Neurosci VL - 20 IS - 12 N2 - We report a rare case of a spinal meningioma leading to symptoms of spinal cord compression starting in the third trimester of gestation in a 32-year-old woman. Neurological symptoms, which continued to progress after the patient had given birth, were assumed to be sequelae of pregnancy and delivery, leading to a 6 month delay in diagnosis and treatment. Fortunately a gross total resection was achieved at surgery and the patient recovered fully, without permanent consequences. Associated symptoms of spinal cord compression may be falsely attributed to pregnancy, both by the pregnant women and her treating physician. A high index of suspicion and thorough history and physical examination to identify red flags should be performed in patients with neurological symptoms. SN - 1532-2653 UR - https://www.unboundmedicine.com/medline/citation/24094360/Spinal_meningioma_becoming_symptomatic_in_the_third_trimester_of_pregnancy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0967-5868(13)00438-4 DB - PRIME DP - Unbound Medicine ER -