Acute spinal hematoma during pregnancy: A case report.

Autor: Jha, Sangam, Jha, Vikas Chandra, Sinha, Vivek Saran
Předmět:
Zdroj: Surgical Neurology International; 2024, Vol. 15, p1-4, 4p
Abstrakt: Background: Spontaneous spinal subdural-epidural hematoma during pregnancy is rare. Case Description: A 29-year-old gravida II patient experienced the onset of vomiting, headache, and progressive paraparesis. The initial non-contrast brain computed tomography and coagulation profiles were negative. The next day, the spine magnetic resonance imaging (MRI) revealed a C7-T4 epidural hematoma; contrast studies revealed no accompanying vascular lesions. On day 3, she underwent a cesarean delivery followed by a C3-T1 laminectomy. Her sensory and sphincteric function returned on postoperative day 2, but at 6 postoperative months, she continued to exhibit a 3/5 paraparesis. Conclusion: Pregnant patients with acute paraparesis should undergo STAT MRI screening of the spine to look for epidural/subdural hematomas. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index