• J Assoc Physicians India · Jul 2009

    Case Reports

    Spontaneous spinal epidural haematoma during pregnancy.

    • D P Singh, S C Lamtha, and S Kumar.
    • Department of Medicine, RNT Medical College, Udaipur.
    • J Assoc Physicians India. 2009 Jul 1;57:540-2.

    AbstractSpontaneous spinal epidural haematoma (SSEH) is rare in pregnancy and only five cases have been reported. We present a case of a 25-year-old female G1P0 (gravida one, para zero) who at 31 weeks of gestation developed progressive descending quadriplegia and numbness upto the level of C4. MRI of the spine was performed, which demonstrated a cervical epidural evolving hematoma/abscess extending from C3 to C7 vertebrae. For which spinal decompression with spinal laminectomy was performed with removal of an epidural haematoma. The patient's neurological function subsequently improved. The diagnosis and management of spontaneous epidural haematoma in pregnancy is presented with a review of the literature.

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