Pregnancy in an Asymptomatic Woman with Porencephalic and Arachnoid Cysts
A 25-year-old woman presented to the obstetric clinic in her first pregnancy. The patient was accompanied by her mother who reported an episode of intracerebral hemorrhage after birth and also remembered access to the emergency department after generalized tonic-clonic seizure as an infant. She was...
Saved in:
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2020-01-01
|
Series: | Case Reports in Obstetrics and Gynecology |
Online Access: | http://dx.doi.org/10.1155/2020/8885114 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832560307213434880 |
---|---|
author | Franco Pepe Gianmarco Marchese Gabriele Giuseppe Pepe Elisabetta Zambrotta Giulio Insalaco Claudia Garraffo Valeria La Rosa |
author_facet | Franco Pepe Gianmarco Marchese Gabriele Giuseppe Pepe Elisabetta Zambrotta Giulio Insalaco Claudia Garraffo Valeria La Rosa |
author_sort | Franco Pepe |
collection | DOAJ |
description | A 25-year-old woman presented to the obstetric clinic in her first pregnancy. The patient was accompanied by her mother who reported an episode of intracerebral hemorrhage after birth and also remembered access to the emergency department after generalized tonic-clonic seizure as an infant. She was not able to describe the therapy for seizure preventions and even when and why it was suspended, but she affirmed that no residual neurological consequences were detected in the following years. Actually, the pregnant woman was in good health without neurological symptoms nor assumed any therapy. A neurologist reviewed the patient’s CT scan in which arachnoid cyst and porencephalic cyst were evident, and he assessed that no abnormalities were found in motor, sensory, and mental state examination. EEG did not show any epileptiform or seizure-like activity. No antiepileptic drug was prescribed due to the absence of symptoms since many years. The patient had no neurological symptoms during pregnancy or obstetric complications and delivered at term a healthy baby through a caesarean section. She breastfed, and after two years, the patient and the baby are healthy. The association of porencephalic and arachnoid cyst in pregnancy is an extremely rare neurological condition that needs a multidisciplinary counseling in pregnancy, but an uneventful course is possible. |
format | Article |
id | doaj-art-3c6bb9f54af64f5bb26a7dbd7ca72346 |
institution | Kabale University |
issn | 2090-6684 2090-6692 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Obstetrics and Gynecology |
spelling | doaj-art-3c6bb9f54af64f5bb26a7dbd7ca723462025-02-03T01:27:56ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922020-01-01202010.1155/2020/88851148885114Pregnancy in an Asymptomatic Woman with Porencephalic and Arachnoid CystsFranco Pepe0Gianmarco Marchese1Gabriele Giuseppe Pepe2Elisabetta Zambrotta3Giulio Insalaco4Claudia Garraffo5Valeria La Rosa6Ospedale San Marco, Ostetricia e Ginecologia con Pronto Soccorso, Catania, ItalyDipartimento di Neurochirurgia, UOV Careggi, Firenze, ItalyOspedale San Marco, Ostetricia e Ginecologia con Pronto Soccorso, Catania, ItalyOspedale San Marco, Ostetricia e Ginecologia con Pronto Soccorso, Catania, ItalyOspedale San Marco, Ostetricia e Ginecologia con Pronto Soccorso, Catania, ItalyOspedale San Marco, Ostetricia e Ginecologia con Pronto Soccorso, Catania, ItalySchool of Anaesthesia and Intensive Care, University Hospital “G. Rodolico”, University of Catania, Catania, ItalyA 25-year-old woman presented to the obstetric clinic in her first pregnancy. The patient was accompanied by her mother who reported an episode of intracerebral hemorrhage after birth and also remembered access to the emergency department after generalized tonic-clonic seizure as an infant. She was not able to describe the therapy for seizure preventions and even when and why it was suspended, but she affirmed that no residual neurological consequences were detected in the following years. Actually, the pregnant woman was in good health without neurological symptoms nor assumed any therapy. A neurologist reviewed the patient’s CT scan in which arachnoid cyst and porencephalic cyst were evident, and he assessed that no abnormalities were found in motor, sensory, and mental state examination. EEG did not show any epileptiform or seizure-like activity. No antiepileptic drug was prescribed due to the absence of symptoms since many years. The patient had no neurological symptoms during pregnancy or obstetric complications and delivered at term a healthy baby through a caesarean section. She breastfed, and after two years, the patient and the baby are healthy. The association of porencephalic and arachnoid cyst in pregnancy is an extremely rare neurological condition that needs a multidisciplinary counseling in pregnancy, but an uneventful course is possible.http://dx.doi.org/10.1155/2020/8885114 |
spellingShingle | Franco Pepe Gianmarco Marchese Gabriele Giuseppe Pepe Elisabetta Zambrotta Giulio Insalaco Claudia Garraffo Valeria La Rosa Pregnancy in an Asymptomatic Woman with Porencephalic and Arachnoid Cysts Case Reports in Obstetrics and Gynecology |
title | Pregnancy in an Asymptomatic Woman with Porencephalic and Arachnoid Cysts |
title_full | Pregnancy in an Asymptomatic Woman with Porencephalic and Arachnoid Cysts |
title_fullStr | Pregnancy in an Asymptomatic Woman with Porencephalic and Arachnoid Cysts |
title_full_unstemmed | Pregnancy in an Asymptomatic Woman with Porencephalic and Arachnoid Cysts |
title_short | Pregnancy in an Asymptomatic Woman with Porencephalic and Arachnoid Cysts |
title_sort | pregnancy in an asymptomatic woman with porencephalic and arachnoid cysts |
url | http://dx.doi.org/10.1155/2020/8885114 |
work_keys_str_mv | AT francopepe pregnancyinanasymptomaticwomanwithporencephalicandarachnoidcysts AT gianmarcomarchese pregnancyinanasymptomaticwomanwithporencephalicandarachnoidcysts AT gabrielegiuseppepepe pregnancyinanasymptomaticwomanwithporencephalicandarachnoidcysts AT elisabettazambrotta pregnancyinanasymptomaticwomanwithporencephalicandarachnoidcysts AT giulioinsalaco pregnancyinanasymptomaticwomanwithporencephalicandarachnoidcysts AT claudiagarraffo pregnancyinanasymptomaticwomanwithporencephalicandarachnoidcysts AT valerialarosa pregnancyinanasymptomaticwomanwithporencephalicandarachnoidcysts |