Letter to the Editor

Can Pseudotumor Cerebri Predispose to Placental Abruption?

Authors: M. Sami Walid, MD, PhD, Mazin Sanoufa, MD, Joe Sam Robinson, Jr., MD, FACS

Abstract

To the Editor:


Pseudotumor cerebri developing during pregnancy is a rare condition and has frequently been described as “benign.”1 However, not all reports of pseudotumor cerebri during pregnancy show a “benign” trend.2 The most worrisome complication of this pathology is permanent vision damage. Pregnancy complications may occur, including miscarriage and preterm labor.2,4 Two reports in the literature mentioned the occurrence of placental abruption.4,5 This will be the third case of pseudotumor cerebri complicating the course of a pregnancy and leading to placental abruption.

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References

1. Henry SD, Jacques S. Benign intracranial hypertension in pregnancy. JACEP 1979;8:323–325.
 
2. Jacopin-Bruneau L, Gommier B, Pierre F, et al. Idiopathic intracranial hypertension and pregnancy. A report of two cases [in French]. J Gynecol Obstet Biol Reprod (Paris). 2009;October 14 [e-pub ahead of print].
 
3. Zamecki KJ, Frohman LP, Turbin RE. Severe visual loss associated with idiopathic intracranial hypertension (IIH) in pregnancy. Clin Ophthalmol 2007;1:99–103.
4. Landwehr JB Jr, Isada NB, Pryde PG, et al. Maternal neurosurgical shunts and pregnancy outcome. Obstet Gynecol 1994;83:134–137.
5. Arsava EM, Cikrikci BI, Kansu T. Increased intracranial pressure associated with ophthalmoplegia, ataxia, and areflexia. J Neuroophthalmol 2004;24:185–186.