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      Spontaneous Cervical Epidural Hematoma during Pregnancy

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          ABSTRACT

          Spontaneous spinal epidural hematoma (SSEH) is rare in pregnancy and only few cases have been reported in literature. Herein, author presents a case of a 26-year-old female with 17 weeks of gestation who developed progressive descending quadriparesis (tetraparesis) and numbness below the level of C4. Magnetic resonance imaging (MRI) of the cervical spine demonstrated an epidural hematoma extending from C3 to C7 vertebrae. Posterior decompressive laminectomy was performed with removal of the epidural hematoma. The patient's neurological function subsequently improved.

          The diagnosis and management of spontaneous epidural hematoma in pregnancy is presented with a review of literature.

          How to cite this article

          Rege S, Gupta R, Patil H, Narayan S, Tadghare J. Spontaneous Cervical Epidural Hematoma during Pregnancy. J Spinal Surg 2016;3(4):154-156.

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          Most cited references 7

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          Spontaneous cervical epidural hematoma. A consideration of etiology.

          The medical literature relating to spontaneous cervical epidural hematoma has been reviewed, and two new cases have been added. In total, 43 cases have been analyzed in detail, and the authors present some new hypotheses as to the pathophysiology of this disorder.
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            Spontaneous cervical epidural hematoma during pregnancy: case report and literature review.

            Spontaneous spinal epidural hematoma (SSEH) during pregnancy is rare and may result in permanent damage if not promptly treated. There were few studies discussing the etiology, presentation and treatment of SSEH during pregnancy. The authors describe a case of spontaneous cervical epidural hematoma during pregnancy, which was diagnosed by magnetic resonance imaging (MRI) and managed with surgical evacuation. A retrospective review of a case of spontaneous epidural hematoma of spine during pregnancy was performed. The clinical features, diagnoses, treatments and outcomes of all cases were analyzed. Precise diagnosis without delay and rapid surgical treatment are essential for the management of SSEH during pregnancy.
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              Spontaneous spinal epidural hematoma during pregnancy.

              A case of spontaneous spinal epidural hematoma during pregnancy is reported. The patient, three weeks before term, was operated upon successfully. A healthy child was delivered with forceps three days after the operation.
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                Author and article information

                Contributors
                Role: Professor and Head
                Role: Professor
                Role: Senior Resident
                Role: Senior Resident
                Role: Senior Resident
                Journal
                JOSS
                The Journal of Spinal Surgery
                JOSS
                Jaypee Brothers Medical Publishers
                2349-0462
                2348-6031
                October-December 2016
                : 3
                : 4
                : 154-156
                Affiliations
                [1-5 ] Department of Neurosurgery, Sri Aurobindo Medical College and Postgraduate Institute, Indore, Madhya Pradesh, India
                Author notes
                Harshad Patil, Senior Resident Department of Neurosurgery, Sri Aurobindo Medical College and Postgraduate Institute, Indore, Madhya Pradesh, India, Phone: +919893894242, e-mail: dr.harshvardhan.patil@ 123456gmail.com
                Article
                10.5005/jp-journals-10039-1109
                Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.

                Creative Commons Attribution 4.0

                Product
                Categories
                CASE REPORT
                Custom metadata
                joss-2016-3-154.pdf

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