Malignant brain tumor in early pregnancy mistaken for hyperemesis gravidarum

Objectives: The main objective of this case report is to discuss the differentiation between hyperemesis gravidarum and a brain tumor in the presence of hyperemesis symptoms in the first trimester of pregnancy. Case report: A patient was initially diagnosed with hyperemesis gravidarum in early pregn...

Full description

Saved in:
Bibliographic Details
Main Authors: Naoki Abe, Maki Goto, Sachino Kira, Mariko Matsuno, Sotaro Hayashi, Miho Oda, Lifa Lee, Yoko To, Satoshi Nishiyama, Hiroshi Tsujioka
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455924002882
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives: The main objective of this case report is to discuss the differentiation between hyperemesis gravidarum and a brain tumor in the presence of hyperemesis symptoms in the first trimester of pregnancy. Case report: A patient was initially diagnosed with hyperemesis gravidarum in early pregnancy and was hospitalized. After hospitalization, cerebral hemorrhage and cerebral hernia due to convulsions occurred. Magnetic resonance imaging showed a brain tumor. She underwent a craniotomy and then an artificial abortion. Despite treatment with radiation and chemotherapy, she died 9 months later. Conclusion: Differentiating between hyperemesis gravidarum and a brain tumor based on a physical examination alone is difficult. Imaging should be performed when exacerbation of consciousness with suspected intracranial organic disease occurs.
ISSN:1028-4559