Abstract

Spinal epidural hematomas are rare, accounting for less than 1% of all spinal canal space occupying lesions.1-3 Spontaneous spinal epidural hematoma has an incidence of 0.1 in 100,000 per year1,4, with incidence in pregnancy being very uncommon. In this case report, we present a case of a 23-year-old primigravida at 36 weeks of gestation with complaints of sudden onset neck pain, quadriplegia and loss of sensation.

• 1.   J. Figueroa and J. G. DeVine, “Spontaneous spinal epidural hematoma: literature review,”Journal of Spine Surgery, 2017.
• 2.   A. Al-Mutair and D. A. Bednar , “Spinal epidural hematoma,”The Journal of the American Academy of Orthopaedic Surgeons, 2010.
• 3.   A.-R. C, E. Rl, N. K, L. H and K. N, “Acute nontraumatic spinal epidural hematomas. An important differential diagnosis in spinal emergencies,”Spine (Phila Pa 1976), Aug 1998.
• 4.   O. C. Sheng, W. Reh-Chieh and I.-H. Chang, “Spontaneous spinal epidural hematoma: a case report,”International Journal of Emergency Medicine, 2021.
• 5.   L. Z, J. Q, X. J and et al, “Sponatneous spinal epidural hematoma : analysis of 23 cases,”Surg Neurol, 2008.
• 6.   I. Papadimitriou, A. Apostolou , A. Vkis and C. Tsitsipanis, “Spontaneous Thoracic Spinal Epidural Hematoma During Pregnancy.,”Maternal Fetal Medicine, 2023.
• 7.   H. Knipe, F. Gaillard and M. Saber, “Radiopaedia. org,” Online. Available: https://doi.org/10.53347/ rID-39884. Accessed 28 Dec 2023.
• 8.   R. Jackson, “CASE OF SPINAL APOPLEXY,”The Lancet, vol. 94, no. 2392, 1869.
• 9.   W. Bain, “A Case of Haematorrachis,”British Medicine Journal, 1897.
• 10.   F. Badar, S. Kirmani, M. Rashid and et al, “Spontaneous spinal epidural hematoma during pregnancy: a rare obstetric emergency,”Emerg Radiol, 2011.
• 11.   D. Foo and A. Rossier, “Perioperative neurological status in predicting surgical outcome of spinal epidural hematoma,”Surgical Neurology, vol. 15, no. 5, 1981.
• 12.   A. S. Case and P. S. Ramsay, “Spontaneous epidural hematoma of the spine in pregnancy,”American Journal of Obstetrics and Gynecology, vol. 193, no. 3, pp. 875-877, 2005.
• 13.   S. Soltani, M.-C. Nogaro and et al, “Spontaneous Spinal Epidural Hematomas in Pregnancy: A Systematic Review,”World Neurosurgery, vol. 128, pp. 254-258, 2019.
• 14.   A. Vaya, M. Resureccion and et al, “cervical epidural hematoma associated with oral anticogulant therapy,”ClIn Appl Thromb Hemost, 2001.
• 15.   Y. Miyagi, M. Miyazono and K. Kamikaseda, “Spinal epidural vascular malformation presenting in association with a spontaneously resolved acute epidural hematoma. Case report,”Journal of Neurosurgery, 1998.
• 16.   J. B.Cywinski, B. M. Parker and L. J.Lozada, “Spontaneous spinal epidural hematoma in a pregnant patient,”Journal of Clinical Anesthesia, 2004.
• 17.   L. M. Samkoff, M. Daras and et al, “Spontaneous spinal epidural hematoma. Another neurologic complication of cocaine?,”Archives of Neurology, 1996.
• 18.   W. Zhong, C. Haifeng and et al, “Spontaneous spinal epidural hematoma,”Journal of Clinical Neuroscience, 2011.
• 19.   J. Bidzinski, “Spontaneous Spinal Epidural Hematoma During Pregnancy,”Journal of Neurosurgery, 1966.
• 20.   B. GW and N. Bosma, Handbook of clinical neurology, Amsterdam, 1976
• 21.   C.V.Gopalakrishnan, A. Dhakoli and S. Nair, “Spontaneous cervical epidural hematoma of idiopathic etiology: Case report and review of literature,”The Journal of Spinal Cord Medicine, 2012.
• 22.   D. T. M. Chan, R. Boet, W. S. Poon, F. Yap and Y. L. Chan, “Spinal shock in spontaneous cervical spinal epidural hematoma,”Acta Neurochirurgica, 2004.
• 23.   J. Duffill, O. Sparrow, J. Millar and C. Barker, “Can spontaneous spinal epidural haematoma be managed safely without operation? a report of four cases,”Lournal of Neurology, Neurosurgery and Psychiatry, 2000.
• 24.   R. Babayev and M. S. Eksi, “Spontaneous thoracic epidural hematoma: a case report and literature review,”Child’s Nervous System, 2016.
• 25.   C.-C. Liao and et al, “Experience in the surgical management of spontaneous spinal epidural hematoma,”Journal of Neurosurgey, 2004.
• 26.   N. A. Baker, N. J. G. M. Veeger and et al, “Prognosis after spinal cord and cauda compression in spontaneous spinal epidural hematomas,”Neurology, 2015.
• 27.   T. Dziedzic, P. Kunert, P. Krych and A. Marchel, “Management and neurological outcome of spontaneous spinal epidural hematoma,”Journal of Clinical Neuroscience, 2015.
• 28.   D. Singh, S. Lamtha and et al, “Spontaneous Spinal Epidural Haematoma During Pregnancy,”Journal of the Association of Physicians of India, 2009.
• 29.   S. Tada, A. Yasue and et al, “Spontaneous spinal epidural hematoma during pregnancy: Three case reports,”Journal of Obstetrics and Gynaecology, 2011.
• 30.   S. Rege, R. Gupta and et al, “Spontaneous cervical epidural hematoma during pregnancy,”Journal of Spinal Surgery, 2016.
• 31.   C. W. Kong and W. W. K. To, “Spontaneous spinal epidural haematoma during pregnancy,”Journal of Obstetrics and Gynaecology, 2018.

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