Introduction: A wide variety of neurological disorders can be encountered during pregnancy and puerperium. These disorders can be unrelated to the pregnancy like Tuberculous meningitis or can be related and more prevalent during pregnancy like eclampsia and cortical venous thrombosis. AIM: To study the clinical profile of patients presenting with neurological symptoms during pregnancy and puerperium and their outcome. Materials and Methods: This study was undertaken in Government Thiruvarur Medical College between Jan 2022 to Dec 2022. Inclusion criteria: All antenatal and postnatal cases. Exclusion criteria:All Known Case of Seizure Disorder. Results:There were 36 women included in the study. In patients with AP eclampsia seizures occur in second and third trimester and were well controlled in the majority. No fetal congenital malformations were seen. Tuberculous meningitis and Tuberculous Hydrocephalous were the CNS infections encountered and pregnancy outcome was good. Among the 2 patients with SAH we had 1 maternal Death due to Berry aneurysm rupture. Conclusion:The incidence of neurological disorders in pregnancy is increasing now a days. The commonest neurological manifestations are due to hypertensive disorders of pregnancy. Early intervention has significantly reduced the morbidity and mortality to greater extent.