{"id":"71121078-93b7-480c-92cc-b00db33557f1","slug":"acute-spinal-hematoma-during-pregnancy-a-case-report","title":"Acute spinal hematoma during pregnancy: A case report","authors":["Sangam Jha","Vikas Chandra Jha","Vivek Saran Sinha"],"abstract":"Background: Spontaneous spinal subdural-epidural hematoma during pregnancy is rare. Case Description: A 29-year-old gravida II patient experienced the onset of vomiting, headache, and progressive paraparesis. The initial non-contrast brain computed tomography and coagulation profiles were negative. The next day, the spine magnetic resonance imaging (MRI) revealed a C7–T4 epidural hematoma; contrast studies revealed no accompanying vascular lesions. On day 3, she underwent a cesarean delivery followed by a C3–T1 laminectomy. Her sensory and sphincteric function returned on postoperative day 2, but at 6 postoperative months, she continued to exhibit a 3/5 paraparesis. Conclusion: Pregnant patients with acute paraparesis should undergo STAT MRI screening of the spine to look for epidural/subdural hematomas.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/71121078-93b7-480c-92cc-b00db33557f1/featured/hero-1781559344122.png","publishDate":"2024-08-02T00:00:00.000Z","doi":"10.25259/SNI_459_2024","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/71121078-93b7-480c-92cc-b00db33557f1/pdf"}