{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T12:00:36Z","timestamp":1718020836109},"reference-count":22,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Cerebellar hemangioblastoma is a highly vascular benign tumor and the growth rate of hemangioblastomas is believed to often accelerate during pregnancy; however, the reason for this rapid increase in size remains poorly understood. There are several case reports of symptomatic hemangioblastoma during pregnancy; however, the favorable management strategy has not been well established.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 35-year-old woman, gravida 2 para 1, with no significant medical history presented with vertigo and difficulty walking at around 11 weeks of pregnancy and was referred to our institute at 30 weeks of gestation because of worsening symptoms. Brain magnetic resonance imaging revealed a 5.6 cm cystic lesion with a mural nodule in the right cerebellar hemisphere and the lesion blocked cerebrospinal fluid drainage from the fourth ventricle and brainstem, resulting in obstructive hydrocephalus. After obtaining the patient\u2019s consent, a multidisciplinary team consisting of obstetricians and neurosurgeons decided to perform resection of the intracranial lesion following delivery of the fetus by emergency cesarean section in view of the symptoms of increased intracranial pressure. The patient\u2019s general condition was confirmed to be stable postoperatively and she was discharged on the 16<jats:sup>th<\/jats:sup> day of her hospitalization without any neurological deficits or fetal complications.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Urgent tumor resection combined with cesarean section can be planned once fetal lung maturity is confirmed. Most cases of symptomatic hemangioblastoma during pregnancy have an uneventful gestational course and a favorable outcome for both mother and child.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_105_2022","type":"journal-article","created":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T10:03:53Z","timestamp":1651226633000},"page":"174","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Favorable management of symptomatic cerebellar hemangioblastoma presenting with obstructive hydrocephalus during pregnancy: A case report and literature review"],"prefix":"10.25259","volume":"13","author":[{"given":"Kazunori","family":"Oda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaaki","family":"Amamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiyuki","family":"Enomoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromasa","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Morishita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsutoshi","family":"Iwaasa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Abe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tooru","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,4,29]]},"reference":[{"key":"10.25259\/SNI_105_2022\/ref-1","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1212\/WNL.0000000000002064","article-title":"New von Hippel-Lindau manifestations develop at the same or decreased rates in pregnancy","volume":"85","author":"Binderup","year":"2015","journal-title":"Neurology"},{"key":"10.25259\/SNI_105_2022\/ref-2","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1111\/j.1600-0447.1949.tb07318.x","article-title":"Multiple cerebellar angioreticulomas; discussion of high protein contents of the cysts and of enclosed parts of the subarachnoid space","volume":"24","author":"Broager","year":"1949","journal-title":"Acta Psychiatr Neurol"},{"key":"10.25259\/SNI_105_2022\/ref-3","first-page":"242","article-title":"Central nervous system complications of Von Hippel-Lindau disease and pregnancy; perinatal considerations: Case report and literature review","volume":"9","author":"Delisle","year":"2000","journal-title":"J Matern Fetal Med"},{"key":"10.25259\/SNI_105_2022\/ref-4","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1097\/00006123-198902000-00027","article-title":"Cerebellar hemangioblastoma during pregnancy","volume":"24","author":"Drapkin","year":"1989","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_105_2022\/ref-5","first-page":"864","article-title":"Cerebellar hemangioblastoma in pregnancy. 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