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Spontaneous spinal epidural hematoma during pregnancy: Three case reports
Author(s) -
Tada Shin,
Yasue Akira,
Nishizawa Haruki,
Sekiya Takao,
Hirota Yutaka,
Udagawa Yasuhiro
Publication year - 2011
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2011.01592.x
Subject(s) - medicine , spinal epidural hematoma , pregnancy , hematoma , anesthesia , epidural hematoma , obstetrics , surgery , biology , genetics
We present three extremely rare cases of spontaneous spinal epidural hematoma occurring in pregnancy. The patients developed progressive paralysis of the upper and lower limbs and the diagnoses were confirmed by magnetic resonance imaging. Urgent decompression is required to prevent neurological sequelae. The pregnancy may either be continued or delivered depending on the gestational age and severity of the disorder. Pregnancy‐induced structural changes of the vascular walls and hemodynamic changes may play a role in the pathogenesis of spontaneous spinal epidural hematoma.