Conservative treatment of large spontaneous spinal extradural hematoma

Braga, Moisés Heleno Vieira; Brandão, Rafael Augusto Castro Santiago; Carvalho, Gervásio Teles Cardoso de; Santos, Cristiane D.; Abreu, Marcelo Sartori de

doi:10.1590/s0004-282x2010000100027

Cited by 4 publications

(6 citation statements)

References 7 publications

(11 reference statements)

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“…Pregnant patients should provide specific attention because it may lead to premature uterine contractions. 6,7 Our patient presented 3 days after the onset of symptoms with presence of altered cord signal intensity changes on MRI. These factors probably contributed to our patients neurological deficit and led to an incomplete recovery.…”

Section: Discussionmentioning

confidence: 84%

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Spontaneous Cervical Epidural Hematoma during Pregnancy

Rege¹,

Gupta²,

Patil³

et al. 2016

The Journal of Spinal Surgery

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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.

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Section: Discussionmentioning

confidence: 84%

“…Longer the duration, poorer the outcome. 6,7 Rehabilitation after surgery or expectant management is also important for good neurological recovery. Pregnant patients should provide specific attention because it may lead to premature uterine contractions.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Cervical Epidural Hematoma during Pregnancy

Rege¹,

Gupta²,

Patil³

et al. 2016

The Journal of Spinal Surgery

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“…Braga et al 1 described the conservative treatment of spontaneous spinal extradural hematoma (SSEH). I would like neurologists to pay more attention to SSEH and pregnancy.…”

mentioning

confidence: 99%

“…Surgical decompression within 12 hours of the symptoms' onset has been generally recommended 1 . Focusing on the topic to SSEH during pregnancy, of 14, 3 had complete neurological recovery while the remaining 11 did not.…”

mentioning

confidence: 99%