Publication:

Multifocal cerebral cavernous malformations in pregnancy: a rare neuro-obstetric case

Cerebral cavernous malformations (CCMs) are rare vascular lesions characterised by clusters of dilated capillaries that may present with seizures or intracranial haemorrhage. Their coexistence with pregnancy poses diagnostic and management challenges. We report a 30-year-old G2P1L1 woman at 37 weeks gestation with a history of generalized tonic-clonic seizures (GTCS) and multifocal CCMs. She had no seizures during the antenatal period. Magnetic resonance imaging (MRI) revealed multiple cavernomas with evidence of prior haemorrhage. A multidisciplinary team opted for elective caesarean section, resulting in successful maternal and foetal outcomes.