Management of an intracranial meningioma in pregnancy in low resource setting: A case report and literature review.

introduction and importanceMeningiomas are rare in pregnancy and craniotomies for tumour excision are non-obstetric surgeries that have a life-saving role in pregnant women. However, because of their rare occurrence, health facilities in resource limited areas may hesitate to provide surgical care due to maternal condition, and may therefore withhold necessary craniotomies due to minimal exposure or experience. This case report intends to show how resource-limited settings can perform craniotomies on pregnant women and have positive outcome for both mother and child. CASE PRESENTATION: We review a case of a 28-year-old female in her early second trimester who presented with new onset seizures and was diagnosed with an anterior falx meningioma. CLINICAL DISCUSSION: This case highlights the challenges we faced throughout case management in resource limited setting, highlighting what can be done in the absence of intraoperative foetal monitoring.

conclusionResource limited areas should not withhold necessary craniotomies in pregnant women but instead conduct necessary pre, intra and post operative planning using the available resources in order to ensure a good outcome for both mother and child.