TITLE:
Meningioma and Pregnancy: About a Case with an Unfavorable Maternal and Neonatal Outcome at Souro Sanou University Teaching Hospital, Burkina Faso
AUTHORS:
Zénabou Boussini, Ouédraogo Boukaré, Waaviel Carine Linda Some, Semon Paulin Kam, Jean De La Croix Millogo, Alihonou Serges Eric Togbé, Evelyne Komboigo, Der Adolphe Somé
KEYWORDS:
Meningioma, Pregnancy, Brain Tumor
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.6,
June
17,
2026
ABSTRACT: Introduction: Intracranial tumors associated with pregnancy are rare and represent a major diagnostic and therapeutic challenge. Meningioma is the most common benign primary brain tumor in women of childbearing age. Its symptoms can worsen during pregnancy due to hormonal and hemodynamic changes, exposing them to severe neurological complications. Observation: We report the case of a 34-year-old patient, G3P2, 28 weeks pregnant with amenorrhea, admitted for intense headache, vomiting, visual disturbances and focal neurological deficit. Brain imaging revealed an intracranial meningioma complicated by hydrocephalus. The patient had benefited from a ventricle-peritoneal shunt thus allowing the improvement of symptoms. Despite initial clinical improvement, the course was marked by neurological worsening at 32 weeks of amenorrhea. An emergency fetal extraction by caesarean section under general anesthesia was performed. The newborn died secondarily in a context of respiratory distress and prematurity. The patient underwent tumor resection after the postpartum period and the outcome was unfavorable. Conclusion: Pregnancy-associated meningioma is a rare but potentially serious condition. Early diagnosis, close neurological monitoring and individualized multidisciplinary management are essential to improve maternal and fetal prognosis. This observation underlines the heavy morbidity and mortality linked to this association.