Cavernous sinus meningioma presenting as third nerve palsy in pregnancy. (12th May 2018)

• Record Type: Journal Article
• Authors: Nidamanuri, Priya; Shastin, Dmitri; Nannapaneni, Ravindra
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-05-12
• Subjects: medical management -- cranial nerves -- neuroopthalmology -- pregnancy -- neurosurgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2017-223152
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 33-year-old female patient presented with diplopia and left eye ptosis 26 weeks into her first pregnancy. No investigation was conducted at the time and her symptoms subsided 4 weeks post partum. This same phenomenon occurred during second pregnancy at 20 weeks of gestation, with patient becoming symptom-free again 6 weeks after giving birth. MRI revealed a lesion in the left cavernous sinus in keeping with a meningioma. Due to the surgically challenging location, the lesion was treated with gamma knife radiosurgery. To date, the patient remains asymptomatic with no progression on follow-up imaging 9 years on.