Spontaneous Spinal Epidural Hematoma in a Near-term Pregnant Patient.

Introduction: Spontaneous development of spinal epidural hematoma (SEH) is rare condition with acute presentation and usually associated with some predisposing factors. Early diagnosis and management of SEH are very important because of the risk of permanent neurological deficit.

Case Report: Here, we report a rare case of SEH in young pregnant female at 35 week of gestation who presented with short history of paraplegia that was diagnosed on magnetic resonance imaging (MRI) and treated successfully with delivery of the baby by caesarean section and release of cord compression by laminectomy.

Conclusion: Spontaneous SEH can be rarely seen in pregnancy. MRI is the investigation of choice. Clinical suspicion is necessary for early management and better prognosis.