Successful brainstem cavernous malformation resection after repeated hemorrhages during pregnancy

Kelly D. Flemming, Brent P. Goodman, Fredric B. Meyer

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

BACKGROUND: Pregnancy may be a risk factor for aggressive behavior in cavernous malformations. Relatively few cases exist in the literature and management is unclear. METHODS: This unique case report describes a 28-year-old female 27 weeks pregnant who presented with 2 hemorrhages from a pontine cavernous malformation within 1 week. Morbidity increased with the second hemorrhage. RESULTS: The patient underwent a suboccipital craniotomy and excision of the cavernous malformation. She successfully delivered a normal child at 36 weeks gestation and is ambulatory and independent 3 months postoperatively. CONCLUSIONS: Pregnancy and prior hemorrhage may be risk factors for repeated hemorrhages. Management decisions can be difficult during pregnancy, but successful excision during pregnancy is possible. The behavior of cavernous malformations and management decisions for this patient are discussed.

Original languageEnglish (US)
Pages (from-to)545-547
Number of pages3
JournalSurgical Neurology
Volume60
Issue number6
DOIs
StatePublished - Dec 2003

Keywords

  • Cavernous
  • Malformation
  • Pregnancy
  • Surgery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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