Comprehensive management of a high-risk pregnant woman with a meningoendothelial meningioma: a case report

Meningiomas are the most common CNS tumors, with an incidence twice as high in women as in men, increasing with age and peaking in the seventh and eighth decades of life. The higher incidence in women, the presence of hormone receptors in some tumors, and changes during pregnancy, the menstrual cycle, and menopause suggest a hormonal link. While pregnancy does not increase meningioma incidence, symptoms can appear suddenly. We present the case of a 36-year-old Hispanic woman at 33 weeks of pregnancy who experienced severe headache, vomiting, and neurological deficits. Imaging revealed a cystic meningoendothelial meningioma with brain edema and midline shift. An emergency cesarean section followed by tumor resection led to symptom improvement. This case highlights the challenges of managing meningiomas in pregnancy and underscores the need for multidisciplinary care and further research on hormonal influences.