Giant chordoid meningioma symptomatic immediately after pregnancy: report of a rare case

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dc.contributor.authorBakar, Bülent
dc.contributor.authorSav, Aydın
dc.contributor.authorTekkok, İsmail Hakkı
dc.date.accessioned2020-06-25T17:51:14Z
dc.date.available2020-06-25T17:51:14Z
dc.date.issued2010
dc.departmentKırıkkale Üniversitesi
dc.descriptionsav, aydin/0000-0002-7326-7801
dc.description.abstractBackground: Chordoid meningioma is a very rare subtype of meningioma with less than 90 cases reported in the literature. Meningiomas related with a pregnancy are also very rare. Herein, we present a pregnancy-associated case of a chordoid meningioma and briefly discuss possible mechanisms. Case History: Approximately 10 hours after a Caesarean section, a 37-year-old woman became stuporous with a Glasgow coma scale score of 9 - 10 and the right pupil became dilated without reaction to light. An emergency computed tomography scan showed a right frontotemporal lesion measuring 8 x 7 x 6 cm which enhanced moderately and homogenously after intravenous contrast injection. The patient's hemoglobin level was slightly lower than normal level but there was no dysgammaglobulinemia or lymphoid hyperplasia. The patient was immediately taken to the operating theater and the tumor was gross totally removed. The postoperative period was uneventful; and histopathological diagnosis was chordoid meningioma. Conclusion: The exact mechanism causing a pregnancy-associated increase in the size of meningiomas and the amount of peritumoral edema has not been clearly elucidated. As for this case of chordoid meningioma associated with pregnancy, we think mucin accumulation in tumor could be involved in an increase in the tumor size while delivery procedures with the common anaesthetic and sedative drugs may also have enhanced the peritumoral edema by causing a relative decrease in the cerebral blood flow.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.endpage168en_US
dc.identifier.issn0722-5091
dc.identifier.issue3en_US
dc.identifier.pmid20423691
dc.identifier.scopus2-s2.0-77953304745
dc.identifier.scopusqualityQ3
dc.identifier.startpage163en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12587/4749
dc.identifier.volume29en_US
dc.identifier.wosWOS:000278332700009
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherDustri-Verlag Dr Karl Feistleen_US
dc.relation.ispartofClinical Neuropathology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectchordoid meningiomaen_US
dc.subjectpregnancyen_US
dc.subjectprogesterone receptoren_US
dc.titleGiant chordoid meningioma symptomatic immediately after pregnancy: report of a rare caseen_US
dc.typeArticle

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