Spontaneous spinal epidural hematoma: A rare cause of paraplegia in pregnancy

Spontaneous Cervical Epidural Hematoma during Pregnancy

“…1 It is associated with coagulopathies, anticoagulant therapy, tumors, vascular malformations, infection, following prolonged valsalva maneuvers and idiopathic conditions. 2 All these possible causes of an epidural hematoma were ruled out in our patient. Yonekawa et al hypothesized that pregnancy increases abdominal pressure, which may lead to a rise in the epidural venous pressure and rupture of abnormal thin wall venous channels.…”

“…1 Spontaneous spinal epidural hematoma during pregnancy is commonly found in thoracic spine and rarely in cervical spine. 2 Only seven cases of cervical SSEH during pregnancy have been reported so far. 2 Herein, we described a case of SSEH of cervical spine during pregnancy and review of literature.…”

“…2 Only seven cases of cervical SSEH during pregnancy have been reported so far. 2 Herein, we described a case of SSEH of cervical spine during pregnancy and review of literature.…”

Traumatic spinal epidural hematoma: A case review

“…Trauma and iatrogenic causes seem to be the most important and common causes reported against a setting of certain precipitating factors such as coagulopathies including Hemophilia B and factor XI deficiency (Steinmetz et al, 2003), arterio-venous malformation (Solero et al, 1980;Wang et al, 2011), anticoagulant therapy (Solero et al, 1980;Wang et al, 2011) and therapeutic thrombolysis for acute MI and following prolong Valsalva Maneuvers (Henry et al, 2012). It is also a rare occurrence during pregnancy with only less than ten cases reported in literature (Bose et al, 2007;Krishnan and Kartikueyan, 2014). Statistically traumatic cases account for a small percentage of all SEH (Liu et al, 2008).Common sites for traumatic SEH as seen in our cases too are the cervicothoracic region and thoraco-lumbar region.…”

“…Most of these cases are thought to occur spontaneously and associated with coagulopathy, vascular malformation, neoplasms, minor trauma and pregnancy. Traumatic SEH with neurological deficit is very uncommon (Cha et al, 2011;Lefranc et al, 1999;Krishnan and Kartikueyan, 2014).…”