# Acute Intracerebral Hemorrhage in a Pregnant Woman in the Third Trimester: A Case Report

## TL;DR

A pregnant woman in her third trimester experienced a rare brain hemorrhage, requiring emergency surgery and highlighting the importance of quick action.

## Contribution

This case report adds to the limited literature on ICH during pregnancy and emphasizes the importance of rapid multidisciplinary care.

## Key findings

- ICH in pregnancy is rare but life-threatening, requiring urgent intervention.
- Emergency cesarean section and decompressive craniectomy improved maternal outcomes.
- Recovery was partial with persistent hemiplegia despite no identified underlying cause.

## Abstract

Intracerebral hemorrhage (ICH) during pregnancy is a rare but life-threatening condition, with high maternal mortality and long-term neurological risk. We report a case of a 34-year-old normotensive woman at 34+3 weeks’ gestation who presented with sudden neurological decline. Emergency cesarean section was performed due to maternal instability, followed by decompressive craniectomy for a large right-sided ICH. Although no underlying cause was identified, the patient gradually recovered with persistent hemiplegia. This case underscores the need for rapid diagnosis, multidisciplinary intervention, and caution even in the absence of known risk factors.