Resumen

HASSIM, T; MJULEKA, P  y  HALL, D R. Pregnant patients with severe headaches - don't forget brain tumours!. SAMJ, S. Afr. med. j. [online]. 2025, vol.115, n.4, pp.14-15. ISSN 2078-5135.  https://doi.org/10.7196/SAMJ.2025.v115i4.2699.

Although sometimes innocuous, headaches in pregnancy may be associated with serious, even life-threatening conditions, with diagnosis delayed due to nonspecific findings associated with normal pregnancy. Meningiomas are the most common primary tumours, have a strong female predisposition and are mostly benign. There is a paucity of information on the diagnosis and management of meningiomas during and after pregnancy. In this article, we describe two cases of meningioma with differing management, seen within a period of 6 months. In case one, iatrogenic preterm delivery of the baby at 33 weeks' gestation was executed to facilitate vision-saving neurosurgery. In our second case, delivery was at early term, with time allowed for postpartum re-evaluation before definitive neurosurgery.

Palabras clave : pregnancy; meningioma; headaches; blindness; seizures.

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