2022, Number 2
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Rev Mex Anest 2022; 45 (2)
Schwannoma in the puerperium
Romero-Luna DI, Córdova AJ, Bustamante-Quan Y, Valera-Rodríguez Y, Kably-Ambe A
Language: Spanish
References: 9
Page: 142-144
PDF size: 148.29 Kb.
ABSTRACT
It is presented a case of a 48-year-old patient, previously healthy, who underwent cesarean section under epidural block and presented data of spinal cord compression in the immediate puerperium. The initial diagnosis was a complication due to the neuraxial anesthesia. Afterwards, the MRI reported an intraspinal tumor at the T9-T10 level, which was removed with a histological diagnosis of schwannoma. The patient´s postoperative evolution was favorable, with no neurological sequelae. Schwannomas are benign tumors, whose main manifestation is symptoms of spinal cord compression.
REFERENCES
Meng T, Yin H, Li Z, et al. Therapeutic Strategy and Outcome of Spine Tumors in Pregnancy. Spine. 2015;40: E146-E153.
Anaya G, de Juambelz PP, Fernández B, et al .prevalencia de tumores del sistema nervioso central y su identificación histológica en pacientes operados: 20 años de experiencia. Cirugía y Cirujanos. 2016;84:447-453.
Chen R, Xiao A, Xing L, et al. A rare thoracic intraspinal schwannoma in twin pregnancy with aggravated clinical presence. Medicine. 2017;96:1-3.
Serrano A, Orenday J, Arriada N. Análisis de la resección de schwannomas espinales experiencia en una sola institución. Arch Neurocien 2017;22:31-27.
Whizar V, Flores J. Complicaciones neurologicas en la paciente obstetrica sometida a Anestesia Neuroaxial. Anestesia obstrética. 2008;379-398. Disponible en: www.anestesia-dolor.org
Pérez-Carbajo E, Zapardiel-Gutiérrez I, Frutos-LLorente L, et al. Schwannoma en espina dorsal en gestante en 24 semanas. Prog Obstet Ginecol. 2011;54:21-23.
Karatay M, Kokterir E, Erdem Y, et al. Intramedullary schwannoma of conus medullaris with syringomyelia. Asian Journal of Surgery. 2017;40:240-242.
Usubiaga JE, Wikinski JA, Usubiaga LE. Epidural pressure and its relation to spread of anesthetic solutions in epidural Space. Anesth Analg. 1967;46:440-446.
Hussain A, Bhakta P, Singh V. Anesthetic management of cesarean section in patient complicated with neuroectodermal tumor: a case report. J Clin Anesth. 2015;27:532-533.