Abstract

Spontaneous epidural hematoma during pregnancy is rare but it requires urgent diagnosis and decompressive surgery because the prognosis is mainly linked to the speed of treatment. Reporting the case of a pregnant woman in the 8th month of pregnancy who presented back pain with paraplegia, an MRI was performed on her returning in favor of a compressive hematoma at the D1D2 level. Followed by a D1D2 laminectomy with evacuation of the hematoma. The postoperative period is marked by total neurological recovery.

Highlights

  • Spontaneous epidural hematoma in pregnant women is a rare occurrence. the known aetiologies of spinal cord compressions must be eliminated to talk about the spontaneity of compressive hematoma such as: vascular malformations, tumors, vertebral spinal cord injuries, coagulopathies and treatment with anticoagulants this is a neurosurgical emergency, the prognosis of which depends on the speed of treatment

  • As part of the exploration workup, a spinal cord MRI was performed in her who found an extradural hematoma compressing the marrow at the dorsal level D1D2

  • Spontaneous epidural hematoma is a rare etiology of spinal cord compression in women during pregnancy

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Summary

Spontaneous Epidural Hematoma during Pregnancy

Djaafer 1 1Neurosurgery Department, Mustapha Pacha University Hospital, Algiers, Algeria 2Anesthesia resuscitation department, Mustapha Pacha University Hospital, Algiers, Algeria *Corresponding Author: K. Received date: October 23, 2021; Accepted date: December 21, 2021; Published date: January 03, 2021

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