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Bulletin of Emergency and Trauma، جلد ۷، شماره Issue ۳، صفحات ۳۲۴-۳۲۹
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عنوان انگلیسی Acute Subdural Hemorrhage of a Convexity Meningioma in the Postpartum Period; Case Report and Literature Review
چکیده انگلیسی مقاله New onset seizures in pregnancy or the postpartum period can be of great importance and denote various underlying pathologies. Eclampsia and cerebrovascular accidents are common, and brain tumors are uncommon causes of postpartum seizures among others. Acute presentation of brain tumors in pregnancy or the postpartum period is extremely rare. Meningiomas are the most common benign intracranial tumors. Although 1.3 to 2.4% of these benign tumors may bleed, acute presentation of them with hemorrhage is quite rare. Herein, we report a rare case of a 36-year-old lady who presented with severe headache, seizure, and loss of consciousness in the postpartum period, five days after delivery of a full-term baby. Primary emergency evaluation revealed an extra-axial lesion with subdural hemorrhage. A Decompressive craniectomy was performed, hematoma was evacuated, and the tumor was totally resected. Histopathologic evaluation was consistent with a fibroblastic meningioma (WHO grade I). She was discharged in good general condition. Our case highlights the significance of complete evaluation of patients with new-onset seizures in pregnancy or the postpartum period. Although uncommon, brain tumors in pregnancy can have potentially devastating outcomes which may necessitate prompt surgical intervention.
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نویسندگان مقاله Mohammad Sadegh Masoudi |
Department of Neurosurgery, Shiraz University of Medical Sciences Neurotrauma Research Center, AJA University of Medical Sciences, Tehran, Iran

Saber Zafar Shamspour |
Department of Neurosurgery, Shiraz University of Medical Sciences

Mohammad Ghasemi-Rad |
Department of Radiology, Baylor college of medicine, Houston, Texas

Neda Soleimani |
Department of Pathology, Shiraz University of Medical Sciences

Abbas Rakhsha |
Department of Neurosurgery, Shiraz University of Medical Sciences

Christie Lincoln |
Department of Radiology, Baylor college of medicine, Houston, Texas

نشانی اینترنتی http://beat.sums.ac.ir/article_45365_3e54fd4d36935348d15359ee03bfdc04.pdf
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