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

Authors

• Jorge Eduardo Alonso Vera
• Tirath Patel, Trinity Medical Sciences University
• Presley Gruezo Realpe
• Plamen Nikolaev Penchev
• Igor Alejandro Villacís Escobar
• Kevin Garcia Valdez, The University of Texas Rio Grande Valley School of MedicineFollow
• Anesu Murambadoro, The University of Texas Rio Grande Valley School of MedicineFollow
• Blake Martin, The University of Texas Rio Grande Valley School of MedicineFollow
• Bharathi Gadad, The University of Texas Rio Grande Valley School of MedicineFollow
• Nikhilesh Anand, The University of Texas Rio Grande Valley School of MedicineFollow

Document Type

Article

Publication Date

8-17-2026

Abstract

Background: 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.

Case presentation: 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.

Conclusion: This case highlights the challenges of managing meningiomas in pregnancy and underscores the need for multidisciplinary care and further research on hormonal influences.

Comments

This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. 

Recommended Citation

Vera, J. E. A., Patel, T., Realpe, P. G., Penchev, P. N., Escobar, I. A. V., Monroy, V. Y. C., ... & Anand, N. (2026). Comprehensive management of a high-risk pregnant woman with a meningoendothelial meningioma: a case report. Journal of Medical Case Reports. https://doi.org/10.1186/s13256-026-06479-w

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.

Publication Title

Journal of Medical Case Reports

DOI

10.1186/s13256-026-06479-w

Academic Level

faculty

Mentor/PI Department

Medical Education