Spontaneous spinal epidural hematoma during pregnancy: Case report and literature review

Andrew Jea, Kapil Moza, Allan D Levi, Steven Vanni

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

OBJECTIVE AND IMPORTANCE: Spinal epidural hematoma is a rare cause of spinal cord compression and acute para-or quadriplegia. Traumatic spinal epidural hematomas are usually seen in older men with a history of ankylosing spondylitis and vertebral fracture. Spontaneous spinal epidural hematomas are commonly associated with coagulopathies, tumors, or vascular malformations. There have been only five previously published case reports in the English-language literature of spontaneous spinal epidural hematomas in conjunction with pregnancy. CLINICAL PRESENTATION: We present the case of a 24-year-old woman at 20 weeks' gestation who presented to our service with a spontaneous cervicothoracic spinal epidural hematoma and complete quadriplegia. INTERVENTION: The patient was taken to the operating room for urgent surgical decompression and evacuation of the spinal epidural hematoma. CONCLUSION: The patient made a complete neurological recovery in long-term follow-up. In the meantime, she carried her pregnancy to term and gave birth to a healthy baby. Therefore, we advocate aggressive and early surgical intervention, similar to the five previously reported cases in the English-language literature, in the case of a spinal epidural hematoma causing cord compression and devastating neurological deficit in a pregnant woman.

Original languageEnglish
JournalNeurosurgery
Volume56
Issue number5
DOIs
StatePublished - May 1 2005

Fingerprint

Spinal Epidural Hematoma
Pregnancy
Quadriplegia
Language
Term Birth
Surgical Decompression
Spinal Cord Compression
Vascular Malformations
Ankylosing Spondylitis
Operating Rooms
Pregnant Women

Keywords

  • Acute quadriplegia
  • Pregnancy
  • Spinal epidural hematoma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Spontaneous spinal epidural hematoma during pregnancy : Case report and literature review. / Jea, Andrew; Moza, Kapil; Levi, Allan D; Vanni, Steven.

In: Neurosurgery, Vol. 56, No. 5, 01.05.2005.

Research output: Contribution to journalArticle

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