Brain Tumor in Differential Diagnosis of Seizures in Puerperium: Case Report

Table 1: Evolution of the case in puerperium.

Date	Evolution	Conduct
1^st PO Caesarean	Patient presented with convulsive crisis.	Administration of magnesium sulphate and requested exams.
3^rd - 5^th PO Caesarean	Persistence of headache. New convulsive crisis.	Neurology team evaluation. It was requested a brain MRI with contrast and angioresonance of intracranial veins and arteries. Initiated Phenytoin 100 mg oral.
6^th PO Caesarean	New convulsive crisis.	Maintenance of anticonvulsive monotherapy.
7^th PO Caesarean	New convulsive crisis. Brain MRI reveals frontoparietal expansive lesion at left with perilesional edema, probable neoplasia (Fig. 1).	Transfer to neurosurgery team. Administration of intravenous Diazepan and Phenytoin. Surgical procedure indicated.
8^th PO Caesarean	Patient undergoes neurosurgery (Fig. 2).	Complete lesion resection without intercurrences.
1^th - 3^rd PO Intracranial Microsurgery	Focal crisis persistence.	Alteration of anticonvulsant for Carbamazepine.
6^th PO Intracranial Microsurgery	Good postoperative evolution, and good oral acceptance. No more generalized seizures. Patient is able to walk with no difficulties.	Hospital discharge.

*PO: postoperative.