The brain tumor with pregnancy is a rare cause for nausea and vomiting. Brain tumors occurring in female of reproductive age was accounted about 75 %. The brain tumor may induce the increased intracranial pressure and leading to unspecific symptoms, such as nausea, vomiting, dizziness, headache and consciousness changed. Initially, the early symptoms of increased intracranial pressure are similar to morning sickness in pregnancy female. It is difficult for physicians to distinguish the diseases. Here, we presented a case of 34-year-old female presented with acute onset progressive nausea and vomiting at pregnancy 34 weeks. The MRI image was done due to the neurological symptoms and revealed extra-axial tumors and an intra-axial lesion in left side basal ganglion with obstructive hydrocephalus and subfalcal brain herniation. In this paper, we describe the clinical features and image finding of brain tumor and highlight the evaluation for physicians to timely intervention.

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