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...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/5879481 |
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| author | Michelle Nguyen Maria Raquel Kronen Alex Nhan Antonio Liu |
| author_facet | Michelle Nguyen Maria Raquel Kronen Alex Nhan Antonio Liu |
| author_sort | Michelle Nguyen |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-73e8bf2bd7424eb1acf3836d78789867 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-73e8bf2bd7424eb1acf3836d787898672025-02-03T06:13:51ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/58794815879481Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural HematomaMichelle Nguyen0Maria Raquel Kronen1Alex Nhan2Antonio Liu3Department of Obstetrics and Gynecology, White Memorial Medical Center, Los Angeles, CA 90033, USADepartment of Obstetrics and Gynecology, White Memorial Medical Center, Los Angeles, CA 90033, USAUniversity of Central Florida College of Medicine, Orlando, FL 32827, USADepartment of Neurology, White Memorial Medical Center, Los Angeles, CA 90033, USABackground. 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.http://dx.doi.org/10.1155/2018/5879481 |
| spellingShingle | Michelle Nguyen Maria Raquel Kronen Alex Nhan Antonio Liu Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma Case Reports in Obstetrics and Gynecology |
| 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 |
| url | http://dx.doi.org/10.1155/2018/5879481 |
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