Sardar M Alam, Haroon Khan, Rafiud Din, Faiqa Filza, Tariq Khan.
Spontaneous thoracic spinal epidural hematoma in the post-partum period.
Pak J Neurological Sci Jan ;7(3):11-4.

Spontaneous spinal epidural hematoma (SSEH) is a rare cause of neurological emergency in pregnancy and postpartum period. This complication has previously been published very rarely in the postpartum period. We report the development of spinal epidural hematoma resulting in acute onset paraplegia in a 30 year-old woman after prolonged, assisted vaginal delivery. There was no history of any predisposing factors like coagulopathy, anticoagulation, trauma, vascular anomaly, vasculitis and iatrogenic manipulations such as spinal/epidural anesthesia. Magnetic resonance imaging revealed changes consistent with an epidural hematoma extending from D2-D4. An emergency spinal decompression and laminectomy was done, epidural hematoma was evacuated. Due to delayed recognition and intervention, her neurological functions did not improve significantly.

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