Managing the simultaneous performance of a cesarean section and intracranial meningioma resection in pregnant patients presents a significant anesthetic challenge. This case report describes a 34-year-old woman at 27 weeks of pregnancy diagnosed with a left pontocerebellar angle meningioma. The patient experienced acute neurological deterioration, necessitating urgent surgical intervention comprising a cesarean section and tumor resection in a single operative session. A target-controlled infusion (TCI) strategy employing fentanyl and propofol was utilized alongside advanced hemodynamic monitoring and tranexamic acid administration to mitigate blood loss. This report underscores the necessity of meticulous perioperative planning and a coordinated multidisciplinary approach to optimize both maternal and fetal outcomes.
