Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2733424 | Imagerie de la Femme | 2010 | 4 Pages |
Abstract
Spontaneous spinal epidural haematomas are quite rare. We report here the case of a 26-year-old woman, without previous history of relevant medical disorder, who presented with acute paraplegia at 35Â weeks of gestation, lasting for 30Â h. MRI performed in emergency revealed a T4Â epidural haematoma. The management consisted in an emergency caesarean section under general anaesthesia, followed immediately by a T4Â laminectomy allowing the spinal cord decompression 36Â h after the first symptoms. Two weeks after surgery, her neurological condition remained unchanged. Spontaneous spinal epidural haematomas require a prompt diagnosis because neurologic prognosis essentially depends on the interval of time between onset of symptoms and surgical decompression. Obstetrical management especially depends on the term of pregnancy.
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Authors
Mohamed Zakaria Kamri, Abdelmajid Saqri, Mustapha Benhassou, Omar Bennani, Mohamed Laghzaoui, Fatiha Essodegui, Said Bouhya,