Q2. What were the common symptoms of the nausea and vomiting?
Intractable nausea and vomiting were most commonly encountered (n = 3), but severe headache, gait disturbance, seizure disorder, urinary incontinence, memory loss, and paralysis were also observed.
Q3. What is the way to prevent fetal wastage?
If acute clinical deterioration or impending herniation manifests, to avoid fetal wastage, expeditious delivery of the baby should be accomplished by cesarean with the patient under general anesthesia, followed by cerebral decompression and tumor resection.
Q4. What is the way to treat a brain tumor?
Patients in whom a brain tumor is discovered should receive corticosteroids to diminish cerebral edema (if present), and delivery should be accomplished expeditiously.
Q5. How long did the women have to be delivered?
After documentation of fetal pulmonary maturity by amniotic fluid analyses, both women were delivered of their infants electively by cesarean while they were under general anesthesia at 32 and 35 weeks’ gestation.
Q6. What did he conclude was that the prognosis of the pregnancy would be favorable?
Tarnow concluded that the prognosis of the pregnancy would be favorable provided the tumor was neither malignant nor infratentorial.
Q7. how many cases of astrocytoma have been reported in the literature?
12 Whereas cerebral metastases have long been recognized as a poor prognostic factor in gestational trophoblastic disease, it is disconcerting that, among the >50 cases of postterm choriocarcinoma associated with intracranial metastases, only 4 survivors (including 1 from this study) have been recorded in the medical literature.
Q8. How many of the mothers died within 1 year of delivery?
In 4 of their cases the tumors were malignant, and although 3 did not require an interruption in pregnancy, 2 of the mothers died within 1 year of delivery with inoperable tumors.
Q9. What was the outcome of the neonatal delivery?
The neonatal outcomes among these 6 cases with emergent delivery included 5 viable infants with birthweights of 988 to 4020 g, each of whom had an uneventful course in the neonatal intensive care unit.
Q10. What was the incidence of malignant brain tumors during the postpartum period?
Two of the 10 cases were encountered during the postpartum period and consisted of intracranial metastatic gestational choriocarcinoma, occurring in women aged 26 and 21 years.
Q11. What is the way to control the symptoms of a tumor?
If symptoms worsen, new deficits manifest, or there is evidence of increased tumor growth or metastases, radiotherapy during pregnancy may be contemplated with a calculation of radiation scatter to the fetus by phantom measurements.