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Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (3): 459-463    DOI: 10.12891/ceog3885.2018
Case Report Previous articles | Next articles
Spontaneous thoracic epidural hematoma after normal vaginal delivery: a case report and literature review
Weiwei Zhu1, Sheng Zhuang1, Zhong Wang1, *()
1 Department of Neurosurgery, the First Affiliated Hospital of Soochow University, Suzhou, China
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Abstract  
Spontaneous spinal epidural hematoma (SSEH) is an extremely rare complication in the postpartum period. SSEH in thoracic spine after natural delivery has never been reported. A 25-year-old women presented with acute onset of paraplegia eight hours after normal vaginal delivery. MRI revealed a right lateral mass in the thoracic spinal canal extending from T1 to T2. Prompt decompressive laminectomy was performed within 12 hours after the event. Follow-up at one month post-operation showed a favorable neurological outcome of the patient. In addition, literatures of similar SSEH cases during pregnancy and postpartum period were reviewed, aiming to highlight the importance of early recognition and expedient intervention of SSEH.
Key words:  Spontaneous spinal epidural hematoma      Thoracic spine      Paraplegia      Pregnancy      Postpartum     
Published:  10 June 2018     
*Corresponding Author(s):  ZHONG WANG     E-mail:  zhongwang_scu@sina.com

Cite this article: 

Weiwei Zhu, Sheng Zhuang, Zhong Wang. Spontaneous thoracic epidural hematoma after normal vaginal delivery: a case report and literature review. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 459-463.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3885.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I3/459

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