I ntracranial hemorrhage (ICH) is a relatively infrequent but devastating complication of pregnancy that accounts for the third most common cause of non-obstetric related maternal mortality. Intracranial hemorrhage in pregnancy can manifest as extradural, subarachnoid, intracerebral, and intraventricular bleeds. Mostly, these events occurs during the second or 3 rd trimester [1,2]. The prevalence of stroke in pregnancy and puerperium appears in 10-34/100,000 parturient women and it is a major reason for the morbidity and mortality among pregnant women. In various countries, eclampsia and stroke during pregnancy are major factors of maternal and neonatal death [3]. Pregnancy-associated ICH is a rare but severe complication. The estimated mortality of pregnancy-associated ICH is 9-38%, which contributes to more than 12% of all maternal mortality in most nations. The incidence of pregnancy-associated ICH in developing countries is even higher than that reported in other countries [4].Importantly, ICH arising in pregnancy or postnatal is often due to new-onset preeclampsia and eclampsia, mainly when acute hypertension is uncontrolled [5]. Worldwide, 10% of all pregnancies become complicated due to hypertension, pre-eclampsia, and eclampsia. These factors are the major causes of maternal as well as antenatal morbidity and mortality. At the global level, it is evaluated that pregnancy-induced hypertension (PIH) affects about 5-8% of all pregnant women [6]. Advanced maternal age, African American race, hypertensive diseases, coagulopathy, and tobacco abuse were all independent risk factors for pregnancy-related ICH [1]. In this backdrop, we present a firstof-its-kind case of intracerebral hemorrhage complicating the first trimester at 12 weeks of gestation without overt predisposing factors. CASE REPORTAn 18-years-old unmarried female was brought to AIIMS, Jodhpur emergency department with a history of unconsciousness, leftsided weakness, and aphasia on June 11, 2019. The patient was shifted to the hospital after 1-2 h of unconsciousness. The patient's mother explained that the patient is not able to communicate with her along with no movement of the left-sided upper and lower limb with right-sided facial deviation. There was no history of fever, headache, nausea, vomiting, seizure, bowel, and bladder incontinence. The history of the patient revealed that there was no history of hypertension, diabetes, hospitalization, blood transfusion, and epilepsy. The patient has a normal menstrual