• Ouafae Slimani, Sofia Jayi, Fatimazahra Fdili Alaoui, Hakima Bouguern, Hekmat Chaara, Ghizlane Fikri, Siham Alaoui Rachidi, Nadia Sqalli Houssaini, Mariam Himmich, and Moulay Abdelilah Melhouf.
• Department of Gynecology Obstetric II, Teaching Hospital Hassan II, Fez, Morocco. sliwaf-80@hotmail.fr.
• J Med Case Rep. 2014 Jan 1; 8: 207.

IntroductionPregnancy-related compressive myelopathy secondary to vertebral hemangioma is a rare occurrence and its treatment antepartum is rare.Case PresentationA 19-year-old North African woman in her 38th week of pregnancy presented with paraplegia that progressed within 2 days after a rapidly progressive weakness of her lower limbs. Magnetic resonance imaging studies showed compression of her spinal cord in front of the fourth thoracic vertebra for suspected tuberculous spondylitis. A Caesarean section was done followed by corpectomy with a bone graft because we intraoperatively discovered a vertebral hemangioma. Pathology showed an aggressive hemangioma.ConclusionAt any term of pregnancy, extensive neurological involvement which is rapidly progressive due to compression should be considered for immediate decompression.

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