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Reminder of important clinical lesson
CASE REPORT
Cavernous sinus meningioma presenting as third nerve palsy in pregnancy
  1. Priya Nidamanuri1,
  2. Dmitri Shastin1,2,
  3. Ravindra Nannapaneni1
  1. 1Department of Neurosurgery, University Hospital of Wales, Cardiff, UK
  2. 2Department of Neurosciences, Cardiff University, Cardiff, UK
  1. Correspondence to Dmitri Shastin, dmitri.shastin{at}gmail.com

Summary

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.

  • medical management
  • cranial nerves
  • neuroopthalmology
  • pregnancy
  • neurosurgery

https://doi.org/10.1136/bcr-2017-223152

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    Footnotes

    • Contributors PN: notes review, first draft, literature search, revision. DS: draft revision, literature search, image editing, liaison with patient, revision, corresponding author. RN: concept, final revision, overall supervision.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.