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Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma
BACKGROUND: Spontaneous epidural hematoma (SEH) is a rare finding in pregnancy, especially since most pregnant women do not have risk factors for developing SEH. The presence of epidural anesthesia can delay the diagnosis of SEH in pregnant patients. Immediate surgical decompression is the current s...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247676/ https://www.ncbi.nlm.nih.gov/pubmed/30524763 http://dx.doi.org/10.1155/2018/5879481 |
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author | Nguyen, Michelle Kronen, Maria Raquel Nhan, Alex Liu, Antonio |
author_facet | Nguyen, Michelle Kronen, Maria Raquel Nhan, Alex Liu, Antonio |
author_sort | Nguyen, Michelle |
collection | PubMed |
description | BACKGROUND: Spontaneous epidural hematoma (SEH) is a rare finding in pregnancy, especially since most pregnant women do not have risk factors for developing SEH. The presence of epidural anesthesia can delay the diagnosis of SEH in pregnant patients. Immediate surgical decompression is the current standard of care for treating SEH. CASE PRESENTATION: We present the case of a 37-year-old pregnant woman with preeclampsia with severe features who developed neurological deficits that were initially attributed to her epidural anesthesia. She was eventually found to have SEH with spinal stenosis at T5-T6 on MRI. Oral antihypertensives were used to keep the patient's blood pressures within normal limits, and she subsequently had complete resolution of her neurological symptoms and her SEH on imaging. CONCLUSION: Preeclampsia may contribute to the development of SEH in pregnancy, and strict blood pressure control may potentially provide a safe and effective alternative to neurosurgery for these patients. |
format | Online Article Text |
id | pubmed-6247676 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-62476762018-12-06 Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma Nguyen, Michelle Kronen, Maria Raquel Nhan, Alex Liu, Antonio Case Rep Obstet Gynecol Case Report BACKGROUND: Spontaneous epidural hematoma (SEH) is a rare finding in pregnancy, especially since most pregnant women do not have risk factors for developing SEH. The presence of epidural anesthesia can delay the diagnosis of SEH in pregnant patients. Immediate surgical decompression is the current standard of care for treating SEH. CASE PRESENTATION: We present the case of a 37-year-old pregnant woman with preeclampsia with severe features who developed neurological deficits that were initially attributed to her epidural anesthesia. She was eventually found to have SEH with spinal stenosis at T5-T6 on MRI. Oral antihypertensives were used to keep the patient's blood pressures within normal limits, and she subsequently had complete resolution of her neurological symptoms and her SEH on imaging. CONCLUSION: Preeclampsia may contribute to the development of SEH in pregnancy, and strict blood pressure control may potentially provide a safe and effective alternative to neurosurgery for these patients. Hindawi 2018-11-07 /pmc/articles/PMC6247676/ /pubmed/30524763 http://dx.doi.org/10.1155/2018/5879481 Text en Copyright © 2018 Michelle Nguyen et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Nguyen, Michelle Kronen, Maria Raquel Nhan, Alex Liu, Antonio Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma |
title | Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma |
title_full | Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma |
title_fullStr | Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma |
title_full_unstemmed | Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma |
title_short | Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma |
title_sort | nonsurgical intervention in a preeclamptic patient with spontaneous spinal epidural hematoma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247676/ https://www.ncbi.nlm.nih.gov/pubmed/30524763 http://dx.doi.org/10.1155/2018/5879481 |
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