The paper describes a case from the practice of the maternity hospital, City Hospital Sixty-Seven. The pregnant woman at gestational weeks 36-37 was found to have a brain tumor complicated by obstructive hydrocephalus and dislocation syndrome. Ventriculoperitoneal bypass and abdominal delivery were simultaneously performed under endotracheal anesthesia using propofol, nitrous oxide, and small-dose ketamine (25 mg), and after fetal extraction, fentanyl. At minutes 1 and 5, the Apgar score of the neonate was 8 and 8, respectively. The patient was discharged from the hospital in satisfactory condition on day 7 postoperatively and it was recommended that her surgical treatment at a neurosurgical clinic be decided.