From Craniotomy to Caesarean: A Multidisciplinary Approach to Meningioma During Pregnancy

TL;DR

A pregnant woman successfully underwent brain tumor surgery in her second trimester and delivered a healthy baby.

Contribution

Demonstrates successful multidisciplinary management of meningioma during pregnancy with favorable outcomes.

Findings

A meningioma was diagnosed and surgically removed during the second trimester of pregnancy.

The patient delivered a healthy infant at 38 weeks via caesarean section.

Second-trimester surgical intervention can allow continuation of pregnancy without termination.

Abstract

This case report addresses a brain tumour - specifically, a meningioma - occurring during pregnancy. It describes the initial diagnosis, management, and outcome of a woman in her early 40s. She is para 2, and at 24 weeks + 3 days’ gestation, she presented to the Emergency Department with confusion and neurological deficits. A computed tomography (CT) scan of the brain revealed a 6.4 cm meningioma in the left frontal lobe. Following a multidisciplinary discussion, the obstetric and neurosurgical teams opted for surgical intervention: a bi-frontal craniotomy with Simpson Grade I resection, performed at 25 weeks’ gestation. The post-surgical phase resulted in a positive pregnancy outcome, with the patient delivering a healthy male infant at 38 weeks via planned lower-segment caesarean section. This case highlights the potential for successful obstetric outcomes in pregnant women with brain tumours undergoing second-trimester surgical intervention, potentially negating the need for pregnancy termination.

Figures