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Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1650
Ulivieri S. 1, Oliveri G. 1, Filosomi F. 2, Petraglia F. 2
1 Department of Neurosurgery, Santa Maria alle Scotte Hospital, Siena, Italy
2 Department of Obstetrics and Gynecology, Santa Maria alle Scotte Hospital, Siena, Italy
The case of an 18-year-old primipara in the second trimester of pregnancy affected by a primitive supratentorial mass is described. Main symptoms of increased intracranial pressure were severe headache, diplopia, and left hemiparesis. In the 20th week of pregnancy a fronto-temporal craniotomy was performed with complete excision of the tumor. Immunohisto-chemical analysis showed a primitive neuroectodermal tumor (PNET). Three months after being discharged, the patient still presented headache and apathy, and a magnetic resonance imaging scan again showed the presence of a temporal lesion; therefore, after caesarean delivery the second surgical resection of the tumor was performed. Combined chemo-therapy and radiotherapy was required.