{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:21:00Z","timestamp":1761744060125},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T00:00:00Z","timestamp":1417478400000},"content-version":"unspecified","delay-in-days":3410,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can. j. neurol. sci."],"published-print":{"date-parts":[[2005,8]]},"abstract":"<jats:title>ABSTRACT:<\/jats:title><jats:sec id=\"S0317167100004297_abs1\"><jats:title>Background:<\/jats:title><jats:p>Spontaneous spinal epidural hematoma is a rare phenomenon that has no distinct etiology. Spontaneous spinal epidural hematoma (SSEH) during pregnancy is extremely rare. We present what we believe to be the fifth reported case of spontaneous spinal epidural hematoma associated with pregnancy in the English literature.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100004297_abs2\"><jats:title>Methods:<\/jats:title><jats:p>A 31-year-old female presented with acute onset of paraplegia at 32 weeks of pregnancy. The patient had a T2 sensory level and complete paralysis of all lower extremity motor groups. Magnetic resonance imaging of the thoracic spine showed an acute epidural hematoma posterior to the thoracic spinal cord between the second and fourth thoracic vertebrae.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100004297_abs3\"><jats:title>Results:<\/jats:title><jats:p>The patient was taken to the operating room were her child was delivered by caesarean section. She then underwent a posterior laminectomy and evacuation of a spinal epidural hematoma. Followup selective spinal angiography was negative for any vascular malformation. The patient gradually recovered lower extremity function and was independently ambulating at six month follow-up. Voluntary bowel and bladder function returned within four months but twice daily intermittent catheterization remained necessary for excessive post-void residual urine.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167100004297_abs4\"><jats:title>Conclusions:<\/jats:title><jats:p>Spontaneous spinal epidural hematoma in pregnancy is a rare phenomenon. It is postulated that elevated venous pressure associated with pregnancy may be a contributing factor. In the reported cases of SSEH in pregnancy most patients presented with acute symptoms, thoracic location and profound neurological deficits but, with prompt surgical treatment, generally had good long term recovery.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0317167100004297","type":"journal-article","created":{"date-parts":[[2014,12,12]],"date-time":"2014-12-12T15:33:09Z","timestamp":1418398389000},"page":"361-365","source":"Crossref","is-referenced-by-count":21,"title":["Spontaneous Spinal Epidural Hematoma During Pregnancy"],"prefix":"10.1017","volume":"32","author":[{"given":"Michael E.B.","family":"Kelly","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Cole","family":"Beavis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Hattingh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2014,12,2]]},"reference":[{"key":"S0317167100004297_ref015","first-page":"327","article-title":"Spontaneous spinalepidural hematoma during pregnancy","volume":"3","author":"Yonekawa","year":"1975","journal-title":"Surg Neurol"},{"key":"S0317167100004297_ref019","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200102150-00013"},{"key":"S0317167100004297_ref006","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199811150-00015"},{"key":"S0317167100004297_ref013","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1966.24.6.1017"},{"key":"S0317167100004297_ref016","first-page":"38","article-title":"Experience in the surgicalmanagement of spontaneous spinal epidural hematoma","volume":"100","author":"Liao","year":"2004","journal-title":"J Neurosurg"},{"key":"S0317167100004297_ref012","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-198709000-00020"},{"key":"S0317167100004297_ref004","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(97)90054-1"},{"key":"S0317167100004297_ref009","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.62.731.885"},{"key":"S0317167100004297_ref014","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1002\/(SICI)1520-6661(199707\/08)6:4<218::AID-MFM6>3.0.CO;2-M","article-title":"Spontaneous spinal extradural hematoma during pregnancy","volume":"6","author":"Carroll","year":"1997","journal-title":"J Matern Fetal Med"},{"key":"S0317167100004297_ref011","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410110611"},{"key":"S0317167100004297_ref003","first-page":"173","article-title":"Uncommon etiology of extradural hematoma","volume":"43","author":"Cabon","year":"1997","journal-title":"Neurochirurgie"},{"key":"S0317167100004297_ref018","first-page":"494","article-title":"Operative treatment of spontaneousspinal epidural hematomas: a study of the factors determining postoperative outcome","volume":"39","author":"Groen","year":"1996","journal-title":"Neurosurgery"},{"key":"S0317167100004297_ref008","first-page":"539","article-title":"Successful surgical management of a case of spontaneous epidural hematoma of the spine during pregnancy","volume":"3","author":"Steinmetz","year":"2003","journal-title":"Spine J"},{"key":"S0317167100004297_ref010","doi-asserted-by":"publisher","DOI":"10.1016\/0090-3019(81)90178-6"},{"key":"S0317167100004297_ref001","first-page":"220","article-title":"Postoperative spinalextradural hematomas. 14 cases","volume":"43","author":"Scavarda","year":"1997","journal-title":"Neurochirurgie"},{"key":"S0317167100004297_ref007","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-002-0224-y"},{"key":"S0317167100004297_ref005","doi-asserted-by":"publisher","DOI":"10.1111\/jon19966162"},{"key":"S0317167100004297_ref002","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1995.83.1.0001"},{"key":"S0317167100004297_ref017","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199711000-00058"}],"container-title":["Canadian Journal of Neurological Sciences \/ Journal Canadien des Sciences Neurologiques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0317167100004297","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,24]],"date-time":"2022-04-24T10:01:59Z","timestamp":1650794519000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0317167100004297\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,8]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2005,8]]}},"alternative-id":["S0317167100004297"],"URL":"https:\/\/doi.org\/10.1017\/s0317167100004297","relation":{},"ISSN":["0317-1671","2057-0155"],"issn-type":[{"value":"0317-1671","type":"print"},{"value":"2057-0155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,8]]}}}