A Case Study of a Brain Tumor in an Adult Woman Revealed by Spasms Immediately Following Cesarean Section
帝王切開術直後に痙攣をきたし,脳腫瘍を指摘された症例

Munenori KUSUNOKI, Takeshi UMEGAKI, Miki TAMAI, Yuki NIKAIDO, Makiko MIKAMI, Kou SHINGU
2017 THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA  
Brain tumors accompanying pregnancies are extremely rare. We report the case of a 33-year-old woman who experienced spasms 2 hours after cesarean section that resulted in an initial diagnosis of a brain tumor. The patient complained of headaches and nausea during the course of her pregnancy, and was suspected to have hyperemesis gravidarum. As the patient had a previous cesarean section, the present delivery was also performed through cesarean section under combined spinal-epidural anesthesia.
more » ... idural anesthesia. Two hours after surgery, the patient experienced loss of consciousness with clonic spasms;a computed tomography scan revealed a pineal tumor. Tissue diagnosis indicated a germ cell tumor. Although headaches and nausea during the later stages of pregnancy are frequently indicative of hyperemesis gravidarum, it is necessary to also consider the possibility that these are signs of rare organic intracranial diseases such as cerebral hemorrhage and brain tumors.
doi:10.2199/jjsca.37.731 fatcat:nl6w7gyoxbfu7ip2yagyrdxham