ABSTRACT
Introduction: The incidence of brain tumor in pregnant women is estimated to be 1 in 1000–2000 pregnancies and it is similar for pregnant and not pregnant women. Incidence of malignant brain tumors is 3.6 per 1 million live births. Treatment and diagnostic of malignant brain tumor during pregnancy has a lot of specificity and it is a challenge for neurosurgeons and obstetricians.
The aim: To report the case of brain tumor during pregnancy and summarize literature overview about brain tumor management and treatment during pregnancy.
Case: A 34-years-old woman presented at 38th week of pregnancy complaining of headache, dizziness, nausea and fever. Patient was diagnosed with giant brain tumor after computed tomography (CT) was performed. Multi-disciplinary team decided that patient has to deliver by cesarean section and after neurosurgery have to be performed.
Conclusion: It is important to select proper diagnostic and treatment method to minimize maternal and fetal mortality and morbidity. Diagnosing of brain tumor during pregnancy may be difficult due to similar symptomatic such as hyperemesis gravidum, preeclampsia, eclampsia or normal pregnancy condition. Management of women with brain tumor during pregnancy has to be approached by multi-disciplinary team.
Keywords: brain tumor, pregnancy, glioma, astrocytoma.