{"title":"妊娠早期恶性脑肿瘤误诊为妊娠剧吐。","authors":"Naoki Abe, Maki Goto, Sachino Kira, Mariko Matsuno, Sotaro Hayashi, Miho Oda, Lifa Lee, Yoko To, Satoshi Nishiyama, Hiroshi Tsujioka","doi":"10.1016/j.tjog.2024.07.021","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>The main objective of this case report is to discuss the differentiation between hyperemesis gravidarum and a brain tumor in the presence of hyperemesis symptoms in the first trimester of pregnancy.</div></div><div><h3>Case report</h3><div>A patient was initially diagnosed with hyperemesis gravidarum in early pregnancy and was hospitalized. After hospitalization, cerebral hemorrhage and cerebral hernia due to convulsions occurred. Magnetic resonance imaging showed a brain tumor. She underwent a craniotomy and then an artificial abortion. Despite treatment with radiation and chemotherapy, she died 9 months later.</div></div><div><h3>Conclusion</h3><div>Differentiating between hyperemesis gravidarum and a brain tumor based on a physical examination alone is difficult. Imaging should be performed when exacerbation of consciousness with suspected intracranial organic disease occurs.</div></div>","PeriodicalId":49449,"journal":{"name":"Taiwanese Journal of Obstetrics & Gynecology","volume":"64 1","pages":"Pages 128-130"},"PeriodicalIF":2.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Malignant brain tumor in early pregnancy mistaken for hyperemesis gravidarum\",\"authors\":\"Naoki Abe, Maki Goto, Sachino Kira, Mariko Matsuno, Sotaro Hayashi, Miho Oda, Lifa Lee, Yoko To, Satoshi Nishiyama, Hiroshi Tsujioka\",\"doi\":\"10.1016/j.tjog.2024.07.021\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>The main objective of this case report is to discuss the differentiation between hyperemesis gravidarum and a brain tumor in the presence of hyperemesis symptoms in the first trimester of pregnancy.</div></div><div><h3>Case report</h3><div>A patient was initially diagnosed with hyperemesis gravidarum in early pregnancy and was hospitalized. After hospitalization, cerebral hemorrhage and cerebral hernia due to convulsions occurred. Magnetic resonance imaging showed a brain tumor. She underwent a craniotomy and then an artificial abortion. Despite treatment with radiation and chemotherapy, she died 9 months later.</div></div><div><h3>Conclusion</h3><div>Differentiating between hyperemesis gravidarum and a brain tumor based on a physical examination alone is difficult. Imaging should be performed when exacerbation of consciousness with suspected intracranial organic disease occurs.</div></div>\",\"PeriodicalId\":49449,\"journal\":{\"name\":\"Taiwanese Journal of Obstetrics & Gynecology\",\"volume\":\"64 1\",\"pages\":\"Pages 128-130\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Taiwanese Journal of Obstetrics & Gynecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1028455924002882\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Taiwanese Journal of Obstetrics & Gynecology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1028455924002882","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Malignant brain tumor in early pregnancy mistaken for hyperemesis gravidarum
Objectives
The main objective of this case report is to discuss the differentiation between hyperemesis gravidarum and a brain tumor in the presence of hyperemesis symptoms in the first trimester of pregnancy.
Case report
A patient was initially diagnosed with hyperemesis gravidarum in early pregnancy and was hospitalized. After hospitalization, cerebral hemorrhage and cerebral hernia due to convulsions occurred. Magnetic resonance imaging showed a brain tumor. She underwent a craniotomy and then an artificial abortion. Despite treatment with radiation and chemotherapy, she died 9 months later.
Conclusion
Differentiating between hyperemesis gravidarum and a brain tumor based on a physical examination alone is difficult. Imaging should be performed when exacerbation of consciousness with suspected intracranial organic disease occurs.
期刊介绍：
Taiwanese Journal of Obstetrics and Gynecology is a peer-reviewed journal and open access publishing editorials, reviews, original articles, short communications, case reports, research letters, correspondence and letters to the editor in the field of obstetrics and gynecology.
The aims of the journal are to:
1.Publish cutting-edge, innovative and topical research that addresses screening, diagnosis, management and care in women''s health
2.Deliver evidence-based information
3.Promote the sharing of clinical experience
4.Address women-related health promotion
The journal provides comprehensive coverage of topics in obstetrics & gynecology and women''s health including maternal-fetal medicine, reproductive endocrinology/infertility, and gynecologic oncology. Taiwan Association of Obstetrics and Gynecology.
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