AI Article Synopsis
- Spontaneous spinal subdural-epidural hematomas during pregnancy are uncommon but can lead to serious complications.
- A case involving a 29-year-old pregnant woman showed symptoms like vomiting and paraparesis, leading to the discovery of a significant epidural hematoma via MRI after inconclusive initial tests.
- Following a cesarean delivery and decompression surgery, while the patient's function improved, she still experienced partial paralysis six months post-surgery, underscoring the importance of immediate MRI for similar cases.
Article Abstract
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.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380816 | PMC |
| http://dx.doi.org/10.25259/SNI_459_2024 | DOI Listing |
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