Abstract
### CASE DESCRIPTION A 46-year-old woman presented for anterior cervical discectomy and fusion of C5/C6 and C6/C7 vertebrae to treat a cervical myelopathy. She had a history of anxiety disorders, epilepsy, and mild intellectual impairment. She denied any recent sexual activity, but was 2 weeks late for her menstrual cycle. A serum point-of-care human chorionic gonadotropin (hCG) test was interpreted as positive but a urine point-of-care hCG test was interpreted as negative and a quantitative serum hCG was <2 IU/L (reference …
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