Pregnancy following Brown-Séquard syndrome: A rare case report
| Autor: | Sasirekha Rengaraj, Niveditha Jha, Shree Bharathi, Veena Ranjan |
|---|---|
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Indian Journal of Obstetrics and Gynecology Research. 8:572-576 |
| ISSN: | 2394-2754 2394-2746 |
| DOI: | 10.18231/j.ijogr.2021.117 |
| Popis: | Brown-Sequard syndrome is an incomplete spinal cord lesion characterized by hemisection injury of the cord. We present a case of pregnancy, delivery and postpartum course following this rare neurological condition. A 42-year-old woman presented with past history of idiopathic hemicord myelitis leading to right sided hemiplegia with decreased contralateral sensation of pain and temperature, consistent with Brown-Sequard syndrome, which was treated with steroids and Therapeutic Plasma Exchange. Thereafter, she had near-complete motor recovery and complete sensory recovery over the next 3months. Three years later, she presented to us at 37+2 weeks of gestation with residual hemiparesis with motor power grade of 4/5 in right upper and lower limbs. She underwent Caesarean section for breech presentation, which was done under general anaesthesia in view of prior spinal cord lesion. She was discharged for follow-up in Neurology outpatient clinic and physical rehabilitation. At follow up after 12 months of delivery, she had complete motor and sensory recovery. Management of spinal cord lesions in pregnancy and delivery requires specialist multidisciplinary care due to risk of medical and obstetric complications. This case demonstrates a rare scenario of a primigravida at term gestation with residual deficits of a past spinal cord lesion. Keywords: Brown-Sequard syndrome, Case report, Hemicord myelitis, Hemiparesis, Pregnancy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|