Spontaneous Spinal Epidural Hematoma in Pregnancy

Ali Malik Alahmed; Faisal Alabbas; Majdi Saleh Alzahrani

doi:10.12816/0040107

Article Details

Spontaneous Spinal Epidural Hematoma in Pregnancy

Authors:

Ali Malik Alahmed | Faisal Alabbas | Majdi Saleh Alzahrani

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2017 Vol.69 Issue 1, pp.1603-1606

Document Type:

Article

Publication Date:

10/2017

Document Language:

English

Document ID (Org No.):

107749

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

DOI:

10.12816/0040107

Descriptors:

Keywords:

Abstract:

 Spinal epidural hematoma (SEH) is an uncommon condition. Spontaneous SEH, accounting for 0.3–0.9%
of all spinal epidural space occupying lesions, instead is associated with risk factors (such as substantial soft
trauma or coagulation abnormalities).The pathophysiology of spontaneous and idiopathic SEH is still under
debate: There are only a few reports in literature of spontaneous evolving SEH with progressively increasing
pain and neurological impairment.
Magnetic resonance imaging may be inconclusive for differential diagnosis. Here, we present a 38-years
old female on the 2nd trimester of her pregnancy preset with spontaneous spinal epidural hematoma with a
sudden onset of weakness and back pain fallowed by a sudden paraplegia. MR imaging showed high intensity
irregular dotted lesion seen in the lower thoracic region (T12), in addition, MRI revealed an intervertebral
disk prolapse with a cord compression between (L3-L4) (L4-L5).
The Surgical treatment of the case, the patient underwent laminectomy and an evacuation of the hematoma
by the neurosurgical team allowed a correct diagnosis but still paraplegic. Our aim is to discuss the clinical
and radiological features and the treatment options.

Article Details

Spontaneous Spinal Epidural Hematoma in Pregnancy

Authors:

Ali Malik Alahmed | Faisal Alabbas | Majdi Saleh Alzahrani

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2017 Vol.69 Issue 1, pp.1603-1606

Document Type:

Article

Publication Date:

10/2017

Document Language:

English

Document ID (Org No.):

107749

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

DOI:

10.12816/0040107

Descriptors:

CIRCULATORY DISORDERS

PATHOPHYSIOLOGY

NEUROSURGERY

PREGNANCY

DIAGNOSIS

MAGNETIC RESONANCE IMAGING

Spontaneous Spinal Epidural Hematoma

Epidural Hematoma

Pregnancy

Issues

Article Details

Authors: Ali Malik Alahmed | Faisal Alabbas | Majdi Saleh Alzahrani

Publisher: Pan Arab League of Continuous Medical Education

Main Topics: Medicine

Journal: The Egyptian Journal of Hospital Medicine 2017 Vol.69 Issue 1, pp.1603-1606

Document Type: Article

Publication Date: 10/2017

Document Language: English

Document ID (Org No.): 107749

Frequency: Quarterly

eISSN: 20907125

pISSN: 16872002

DOI: 10.12816/0040107

Descriptors:

Issues

Authors:

Ali Malik Alahmed | Faisal Alabbas | Majdi Saleh Alzahrani

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2017 Vol.69 Issue 1, pp.1603-1606

Document Type:

Article

Publication Date:

10/2017

Document Language:

English

Document ID (Org No.):

107749

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

DOI:

10.12816/0040107