Spontaneous Spinal Epidural Hematoma in Pregnancy | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 9, Volume 69, Issue 1, October 2017, Pages 1603-1606 PDF (368.59 K) | ||
| Document Type: Original Article | ||
| DOI: 10.12816/0040107 | ||
| Authors | ||
| Ali Malik Alahmed1; Faisal Alabbas2; Majdi Saleh Alzahrani3 | ||
| 1Imam Abdul-Rahman Bin Faisal University | ||
| 2King Fahad university of Dammam, Faculty of Medicine | ||
| 3Umm Al-Qura University, Makkah , Saudi Arabia. | ||
| Abstract | ||
| Spinal epidural hematoma (SEH) is an uncommon condition. Spontaneous SEH, accounting for 0.3–0.9% of all spinal epidural space occupying lesions, instead is associated with risk factors (such as substantial soft trauma or coagulation abnormalities).The pathophysiology of spontaneous and idiopathic SEH is still under debate: There are only a few reports in literature of spontaneous evolving SEH with progressively increasing pain and neurological impairment. Magnetic resonance imaging may be inconclusive for differential diagnosis. Here, we present a 38-years old female on the 2nd trimester of her pregnancy preset with spontaneous spinal epidural hematoma with a sudden onset of weakness and back pain fallowed by a sudden paraplegia. MR imaging showed high intensity irregular dotted lesion seen in the lower thoracic region (T12), in addition, MRI revealed an intervertebral disk prolapse with a cord compression between (L3-L4) (L4-L5). The Surgical treatment of the case, the patient underwent laminectomy and an evacuation of the hematoma by the neurosurgical team allowed a correct diagnosis but still paraplegic. Our aim is to discuss the clinical and radiological features and the treatment options. | ||
| Keywords | ||
| spontaneous spinal epidural hematoma; Epidural hematoma; Pregnancy | ||
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