• Singap Med J · May 2002

    Case Reports

    Tuberculous paraplegia in pregnancy treated by surgery.

    • Harwant Singh, Jaspal Singh, Borhan Tan Abdullah, and Alex Matthews.
    • Department of Orthopaedics, Hospital Seremban, Negeri Sembilan, Malaysia. harws@pd.jaring.my
    • Singap Med J. 2002 May 1; 43 (5): 251-3.

    AbstractTuberculous paraplegia in pregnancy is reported to be rare. Paraplegia due to tuberculosis has a good prognosis if surgical decompression and stabilisation are done early together with chemotherapy. Vaginal delivery is not contraindicated in pregnancy complicated by paraplegia, but is associated with problems related to the initiation and progression of labour. Performing spinal nursing on an unstable spine with a rapidly enlarging gravid uterus in the third trimester of pregnancy poses a significant challenge. We report successful simultaneous Caesarean section and surgical treatment of a paraplegic spine due to tuberculosis.

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