{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:14:37Z","timestamp":1756167277830,"version":"3.44.0"},"reference-count":44,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,8,6]]},"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>The onset of spontaneous spinal epidural haematoma (SSEH) during pregnancy is rare, with only a few reports addressing the management of pregnancy after its development. In this report, we describe a case of pregnancy complicated by SSEH at 31 weeks\u2019 gestation. In this case, the complications started with the symptoms of sudden neck pain and bilateral leg numbness. MRI examination revealed the presence of a haematoma within the posterior spinal canal. Since the patient was successfully placed in a prone position, only haematoma evacuation was performed, allowing the pregnancy to be maintained. Labour was induced at 39 weeks\u2019 gestation, and the infant was delivered using forceps. The baby was discharged home; however, the patient was transferred to a rehabilitation hospital and was discharged 3 months later with persistent voiding dysfunction. SSEH that develops during pregnancy may lead to the need for prolonged rehabilitation and separation from the child.<\/jats:p>","DOI":"10.1136\/bcr-2024-264291","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T19:05:20Z","timestamp":1756148720000},"page":"e264291","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Management of pregnancy after the development of spontaneous spinal epidural haematoma"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6245-0393","authenticated-orcid":false,"given":"Mako","family":"Inoue","sequence":"first","affiliation":[{"name":"Obstetrics and Gynecology, Metropolitan Bokutoh Hospital, Sumida-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1859-7525","authenticated-orcid":false,"given":"Hironobu","family":"Hyodo","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Metropolitan Bokutoh Hospital, Sumida-ku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"2025082512051368000_18.8.e264291.1","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1007\/s10140-011-0952-9","article-title":"Spontaneous spinal epidural hematoma during pregnancy: a rare obstetric emergency","volume":"18","author":"Badar","year":"2011","journal-title":"Emerg Radiol"},{"key":"2025082512051368000_18.8.e264291.2","doi-asserted-by":"crossref","first-page":"58","DOI":"10.21037\/jss.2017.02.04","article-title":"Spontaneous spinal epidural hematoma: literature review","volume":"3","author":"Figueroa","year":"2017","journal-title":"J Spine Surg"},{"key":"2025082512051368000_18.8.e264291.3","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1080\/01443615.2017.1325861","article-title":"Spontaneous spinal epidural haematoma during pregnancy","volume":"38","author":"Kong","year":"2018","journal-title":"J Obstet Gynaecol"},{"key":"2025082512051368000_18.8.e264291.4","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.wneu.2019.05.050","article-title":"Spontaneous Spinal Epidural Hematomas in Pregnancy: A Systematic Review","volume":"128","author":"Soltani","year":"2019","journal-title":"World Neurosurg"},{"key":"2025082512051368000_18.8.e264291.5","doi-asserted-by":"crossref","first-page":"316","DOI":"10.17712\/nsj.2020.4.20200027","article-title":"Acute hemiparesis. A rare presentation of spontaneous spinal epidural hematoma mimicking acute stroke","volume":"25","author":"Huang","year":"2020","journal-title":"Neurosciences (Riyadh)"},{"key":"2025082512051368000_18.8.e264291.6","doi-asserted-by":"crossref","first-page":"133","DOI":"10.2147\/TCRM.S227799","article-title":"Lateral Position versus Prone Position for Cervical Laminoplasty: A Retrospective Comparative Study","volume":"16","author":"Du","year":"2020","journal-title":"Ther Clin Risk Manag"},{"key":"2025082512051368000_18.8.e264291.7","doi-asserted-by":"crossref","first-page":"770","DOI":"10.31616\/asj.2022.0320","article-title":"Patient Positioning in Spine Surgery: What Spine Surgeons Should Know?","volume":"17","author":"Garg","year":"2023","journal-title":"Asian Spine J"},{"key":"2025082512051368000_18.8.e264291.8","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1034\/j.1600-0412.1998.771003.x","article-title":"Effects of maternal prone position on the umbilical arterial flow","volume":"77","author":"Nakai","year":"1998","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2025082512051368000_18.8.e264291.9","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1007\/BF03009629","article-title":"Aortocaval compression in the sitting and lateral decubitus positions during extradural catheter placement in the parturient","volume":"40","author":"Andrews","year":"1993","journal-title":"Can J Anaesth"},{"key":"2025082512051368000_18.8.e264291.10","doi-asserted-by":"crossref","DOI":"10.3171\/jns.1966.24.6.1017","article-title":"Spontaneous spinal epidural hematoma during pregnancy. Case report","volume":"24","author":"Bidzinski","year":"1966","journal-title":"J Neurosurg"},{"key":"2025082512051368000_18.8.e264291.11","first-page":"1307","article-title":"Presentation of a new case of spontaneous spinal extradural hematoma observed during labor","volume":"52","author":"Binnert","year":"1971","journal-title":"J Med Lyon"},{"key":"2025082512051368000_18.8.e264291.12","first-page":"685","article-title":"Spontaneous spinal epidural hematoma (author\u2019s transl)","volume":"4","author":"Nishikawa","year":"1976","journal-title":"No Shinkei Geka"},{"key":"2025082512051368000_18.8.e264291.13","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1590\/S0004-282X1984000100007","article-title":"Spontaneous spinal epidural hematoma during pregnancy: report of a case","volume":"42","author":"Hack","year":"1984","journal-title":"Arq Neuro Psiquiatr"},{"key":"2025082512051368000_18.8.e264291.14","first-page":"99","article-title":"Spontaneous cervical extradural hematoma in a pregnant woman","volume":"23","author":"Mahieu","year":"1994","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"key":"2025082512051368000_18.8.e264291.15","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1520-6661(199707\/08)6:4<218::AID-MFM6>3.0.CO;2-M"},{"key":"2025082512051368000_18.8.e264291.16","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":"2025082512051368000_18.8.e264291.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2003.09.006"},{"key":"2025082512051368000_18.8.e264291.18","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/58217479"},{"key":"2025082512051368000_18.8.e264291.19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2003.08.007"},{"key":"2025082512051368000_18.8.e264291.20","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.03.015"},{"key":"2025082512051368000_18.8.e264291.21","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1017\/S0317167100004297","article-title":"Spontaneous spinal epidural hematoma during pregnancy","volume":"32","author":"Kelly","year":"2005","journal-title":"Can J Neurol Sci"},{"key":"2025082512051368000_18.8.e264291.22","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2004.09.009"},{"key":"2025082512051368000_18.8.e264291.23","article-title":"Spontaneous spinal epidural hematoma during pregnancy: case report and literature review","volume":"56","author":"Jea","year":"2005","journal-title":"Neurosurgery"},{"key":"2025082512051368000_18.8.e264291.24","first-page":"540","article-title":"Spontaneous spinal epidural haematoma during pregnancy","volume":"57","author":"Singh","year":"2009","journal-title":"J Assoc Physicians India"},{"key":"2025082512051368000_18.8.e264291.25","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.annfar.2007.01.019","article-title":"Spontaneous spinal epidural haematoma during pregnancy","volume":"26","author":"Consolo","year":"2007","journal-title":"Ann Fr Anesth Reanim"},{"key":"2025082512051368000_18.8.e264291.26","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31818f52d1"},{"key":"2025082512051368000_18.8.e264291.27","doi-asserted-by":"crossref","first-page":"849","DOI":"10.3893\/jjaam.21.849","article-title":"A case of simultaneous idiopathic spinal epidural hematoma and spinal subdural hematoma in gravidas","volume":"21","author":"Tanaka","year":"2010","journal-title":"Nihon Kyukyu Igakukai Zasshi"},{"key":"2025082512051368000_18.8.e264291.28","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1111\/j.1447-0756.2010.01522.x","article-title":"Spontaneous spinal epidural hematoma at the 16th week of a twin pregnancy","volume":"37","author":"Matsubara","year":"2011","journal-title":"J Obstet Gynaecol Res"},{"key":"2025082512051368000_18.8.e264291.29","doi-asserted-by":"crossref","first-page":"1734","DOI":"10.1111\/j.1447-0756.2011.01592.x","article-title":"Spontaneous spinal epidural hematoma during pregnancy: three case reports","volume":"37","author":"Tada","year":"2011","journal-title":"J Obstet Gynaecol Res"},{"key":"2025082512051368000_18.8.e264291.30","doi-asserted-by":"crossref","first-page":"S176","DOI":"10.1007\/s00586-010-1484-9","article-title":"Spontaneous cervical epidural hematoma during pregnancy: case report and literature review","volume":"20 Suppl 2","author":"Wang","year":"2011","journal-title":"Eur Spine J"},{"key":"2025082512051368000_18.8.e264291.31","doi-asserted-by":"crossref","first-page":"205","DOI":"10.4103\/0028-3886.132413","article-title":"Spontaneous spinal epidural hematoma: a rare cause of paraplegia in pregnancy","volume":"62","author":"Krishnan","year":"2014","journal-title":"Neurol India"},{"key":"2025082512051368000_18.8.e264291.32","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1055\/s-0034-1398489","article-title":"Spontaneously Resolved Recurrent Cervical Epidural Hematoma in a 37-Week Primigravida","volume":"5","author":"Iwatsuki","year":"2015","journal-title":"Global Spine J"},{"key":"2025082512051368000_18.8.e264291.33","doi-asserted-by":"crossref","DOI":"10.1186\/s13256-017-1335-y","article-title":"Anesthetic management of spontaneous cervical epidural hematoma during pregnancy: a case report","volume":"11","author":"Samali","year":"2017","journal-title":"J Med Case Rep"},{"key":"2025082512051368000_18.8.e264291.34","article-title":"Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma","volume":"2018","author":"Nguyen","year":"2018","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025082512051368000_18.8.e264291.35","doi-asserted-by":"crossref","first-page":"832693","DOI":"10.3389\/fmed.2022.832693","article-title":"Spontaneous Spinal Epidural Hematoma Complicated by Pulmonary Embolism During Pregnancy: A Case Report","volume":"9","author":"Jiang","year":"2022","journal-title":"Front Med"},{"key":"2025082512051368000_18.8.e264291.36","doi-asserted-by":"crossref","first-page":"11","DOI":"10.13107\/jocr.2022.v12.i12.3444","article-title":"Spontaneous Spinal Epidural Hematoma in a Near-term Pregnant Patient","volume":"12","author":"Naik","year":"2022","journal-title":"J Orthop Case Rep"},{"key":"2025082512051368000_18.8.e264291.37","doi-asserted-by":"crossref","DOI":"10.25259\/SNI_459_2024","article-title":"Acute spinal hematoma during pregnancy: A case report","volume":"15","author":"Jha","year":"2024","journal-title":"Surg Neurol Int"},{"key":"2025082512051368000_18.8.e264291.38","doi-asserted-by":"crossref","first-page":"132","DOI":"10.2199\/jjsca.24.132","article-title":"Spontaneous Spinal Epidural Hematoma after Transvaginal Delivery: A Case Report","volume":"24","author":"Amano","year":"2004","journal-title":"JJSCA"},{"key":"2025082512051368000_18.8.e264291.39","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem265"},{"key":"2025082512051368000_18.8.e264291.40","doi-asserted-by":"crossref","first-page":"E408","DOI":"10.1097\/BRS.0b013e31823232a5","article-title":"Spontaneous cervical spinal epidural hematoma in the postpartum period","volume":"37","author":"Puah","year":"2012","journal-title":"Spine (Phila Pa 1976)"},{"key":"2025082512051368000_18.8.e264291.41","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1007\/s00540-012-1444-0","article-title":"Unilateral sensorimotor deficit caused by delayed lumbar epidural hematoma in a parturient after cesarean section under epidural anesthesia","volume":"26","author":"Yao","year":"2012","journal-title":"J Anesth"},{"key":"2025082512051368000_18.8.e264291.42","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/j.ijoa.2018.03.006","article-title":"Recurrent spontaneous cervical epidural hematoma in a parturient 11\u202fhours after vaginal delivery without labor epidural analgesia","volume":"35","author":"Okada","year":"2018","journal-title":"Int J Obstet Anesth"},{"key":"2025082512051368000_18.8.e264291.43","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/j.wneu.2020.01.240","article-title":"Spontaneous Spinal Epidural Hematoma After Normal Spontaneous Delivery with Epidural Analgesia: Case Report and Literature Review","volume":"137","author":"Zheng","year":"2020","journal-title":"World Neurosurg"},{"key":"2025082512051368000_18.8.e264291.44","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2023.e22855","article-title":"Spontaneous spinal epidural hematoma (SSEH) after cesarean section under epidural anesthesia: A case report","volume":"9","author":"Wu","year":"2023","journal-title":"Heliyon"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-264291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T19:05:24Z","timestamp":1756148724000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-264291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":44,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025,8,25]]},"published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1136\/bcr-2024-264291"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-264291","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]}}}