{"id":"c1e8eb7c-0e49-472d-83fc-183d0336fe5e","slug":"a-rare-case-of-postpartum-paraplegia-due-to-spinal-intradural-hematoma","title":"A rare case of postpartum paraplegia due to spinal intradural hematoma","authors":["Anmol Singh Randhawa","Swarjith Nimmakayala","Pankaj Gupta","Bhawani Shanker Sharma","Rohin Bhatia","Yogesh Agrawal","Jitendra Singh Verma"],"abstract":"Background: Spinal intradural hematomas rarely occur following spinal anesthesia. In this case, a 34-year-old postpartum female developed conus-cauda paraplegia (T12/L1–L5) due to an acute subdural hematoma after spinal anesthesia. Case Description: Four-day postpartum, a 34-year-old female presented with severe paraplegia (1/5 motor power), complete T12–L1 sensory loss, and bowel incontinence. The lumbar magnetic resonance imaging (MRI) revealed a subacute subdural hematoma extending from the L1 to L5 levels. An urgent L1–L5 laminectomy was performed for clot evacuation. Within 3 postoperative months, she regained 4+/5 motor strength bilaterally and full bowel/bladder control. Conclusion: Spinal anesthesia may cause acute/subacute subdural hematomas. Here, 4-day postpartum, a 34-year-old female became paraplegic due to a subacute T12-L5 subdural hematoma documented on an MRI scan. She underwent emergent decompression, and within 3 postoperative months, regained nearly normal function.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/c1e8eb7c-0e49-472d-83fc-183d0336fe5e/featured/hero-1781558498779.png","publishDate":"2025-06-27T00:00:00.000Z","doi":"10.25259/SNI_413_2025","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/c1e8eb7c-0e49-472d-83fc-183d0336fe5e/pdf"}