Clinical Case Database / Category: Case Based Discussion

Early pregnancy with right frontal lobe oligodendroglioma

Publication details

Dr S Parameshwaran, MBBS, MRCOG, Dr L Kean, BMBCh, DM, FRCOG
Foundation Years Journal, volume 8, issue 7, p.32 (123Doc Education, London, July 2014)

Abstract

Hyperemesis Gravidarum (HG) is characterized by intractable nausea, vomiting and dehydration and affects about 0.5-2% of pregnant women. HG is considered a rare complication of pregnancy, but because nausea and vomiting during pregnancy exist on a spectrum, it is often difficult to distinguish this condition from the more common form of nausea and vomiting experienced during pregnancy known as morning sickness. HG tends to start in the first trimester of pregnancy and last significantly longer than morning sickness. While most women will experience near-complete relief of morning sickness symptoms near the beginning of their second trimester, some sufferers of HG will experience severe symptoms until they give birth to their baby, and sometimes even after giving birth. A Foundation doctor working in Obstetrics and Gynaecology will definitely encounter women with HG. It is important to bear in mind other diagnoses which may present with similar symptoms.

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Authors

Dr S Parameshwaran, MBBS, MRCOG

Nottingham University Hospitals NHS Trust
City Campus, Nottingham, NG5 1PB
pshobhana@hotmail.com

Dr L Kean, BMBCh, DM, FRCOG

Nottingham University Hospitals NHS Trust
City Campus, Nottingham, NG5 1PB
lucy.kean@nuh.nhs.uk

References

1. Mork SJ, Lindegaard KF, Halvorsen TB, et al. Oligodendroglioma: incidence and biological behavior in a defined population. J Neurosurg 1985;63:881-9. [PUBMED]
2. Rubinstein LJ. Tumors of the central nervous system. In: Armed forces Institute of Pathology: Atlas of tumor pathology, series 2, fascicle 6. Bethesda 1972:85-104.
3. Chin HW, Hazel JJ, Kim TH, Webster JH. Oligodendrogliomas. A review of two hundred cases. Cancer 1980;45:1458-66. [PUBMED]
4. Osborn AG. Diagnostic Neuroradiology. Mosby, St Louis, Missouri 1994;564-5.
5. Lee YY, Van Tassel P. Intracranial oligodendrogliomas: imaging findings in 35 untreated cases. AJR Am J Roentgenol 1989;152:361-9.
6. Herbert H.Engelhard,Ana Stelea Oligodendroglioma and Anaplastic Oligodendroglioma:Clinical features Treatment and Prognosis Surgical Neurol 2003;60:443-56

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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