Management strategies for XXXX presenting during pregnancy: a case series.

@entity1 @entity6551 @entity510 @entity75 @entity1313 @entity5 @entity532
BACKGROUND: The management of @entity75 diagnosed during pregnancy is challenging to both obstetricians and neurosurgeons. In this study, a series of nine pregnant @entity1 were admitted to neurosurgery presenting with different @entity75 . OBJECTIVE: To establish guidelines for the management of @entity75 that present during pregnancy. @entity1 AND METHODS: Retrospective review of the medical records of all pregnant @entity1 admitted for urgent care to King Khalid University Hospital (KKUH) from 1995 to 2009. RESULTS: Eight @entity1 were multiparous, and one was primigravida, two were in the first trimester, and seven were in the second or third trimester. The mean age was 30.5 years. Six @entity1 had @entity1313 , while one @entity1 had @entity6551 , and two had aneurismal @entity510 ( @entity510 ). Three @entity1 completed a full term pregnancy following surgery. Two @entity1 had emergency caesarean section (CS) immediately followed by neurosurgery in the same session. Two @entity1 completed their pregnancies to full term and had craniotomies after delivery. Two @entity1 had therapeutic abortions followed by neurosurgery. No @entity532 were recorded in this series. CONCLUSION: The management of pregnant @entity1 with @entity75 should be individualised and multidisciplinary. As it is difficult to allocate a single, general treatment protocol to pregnant @entity1 with @entity75 , we suggest the following guidelines: for @entity1 in the second and early third trimesters, it is safe to perform a craniotomy first and allow the @entity1 to complete a full term pregnancy. For @entity1 at 34 weeks or more of gestation, emergency CS followed by a craniotomy is recommended. For @entity1 in the 1st trimester, it is advisable to terminate the pregnancy to allow safe management, although the laws governing this will vary from country to country. For @entity1 with @entity5 who respond to corticosteriods, it is possible to complete the pregnancy and postpone surgery until after delivery.
