Acute Intracerebral Hemorrhage in a Pregnant Woman in the Third Trimester: A Case Report.

Intracerebral hemorrhage (ICH) during pregnancy is a rare but life-threatening condition, with high maternal mortality and long-term neurological risk. We report a case of a 34-year-old normotensive woman at 34+3 weeks' gestation who presented with sudden neurological decline. Emergency cesarean section was performed due to maternal instability, followed by decompressive craniectomy for a large right-sided ICH. Although no underlying cause was identified, the patient gradually recovered with persistent hemiplegia. This case underscores the need for rapid diagnosis, multidisciplinary intervention, and caution even in the absence of known risk factors.