Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case Report

Authors

  • Camile Lanzaro Aluna do 6º ano do Mestrado Integrado em Medicina da Faculdade de Medicina da Universidade do Porto
  • Sónia Cavalete Unidade Local de Saúde de Matosinhos - Hospital Pedro Hispano
  • Beatriz Carvalho Centro Hospitalar Universitário de São João, EPE
  • Eduarda Pereira Centro Hospitalar Universitário de São João, EPE
  • Celeste Dias Centro Hospitalar Universitário de São João, EPE

DOI:

https://doi.org/10.25751/rspa.19464

Keywords:

Analgesia, Epidural; Labor, Obstetric; Neuroma, Acoustic; Pregnancy; Pregnancy Complications, Neoplastic

Abstract

Brain tumour incidence during pregnancy is low and type of tumours are similar to those seen in nonpregnant women. Pregnancy may aggravate the natural history of a brain tumour, unmask a previously
undiagnosed lesion or remain assymtomatic due to its unspecific symptoms. We report a case of a pregnant woman with a large occult acoustic neuroma diagnosed after presenting neurological symptoms during epidural analgesia for labour. The tumour was causing shift of the peripheral structures and compression of the brainstem and 4th ventricle. In postpartum period, the tumour was removed without complications. Preanesthetic evaluation is essential to rule out contraindications to neuroaxial analgesia or potentially neurological life-threatening conditions.

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Author Biography

Camile Lanzaro, Aluna do 6º ano do Mestrado Integrado em Medicina da Faculdade de Medicina da Universidade do Porto

References

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Published

2020-04-02

How to Cite

Lanzaro, C., Cavalete, S., Carvalho, B. ., Pereira, E. ., & Dias, C. (2020). Large Undiagnosed Acoustic Neuroma in a Pregnant Woman Submitted to Epidural Analgesia: Case Report . Journal of the Portuguese Society of Anesthesiology, 29(1), 30–32. https://doi.org/10.25751/rspa.19464

Issue

Vol. 29 No. 1 (2020): Revista da Sociedade Portuguesa de Anestesiologia

Section

Case Report

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