A case of simultaneous idiopathic spinal epidural hematoma and spinal subdural hematoma in gravidas

Abstract

Idiopathic spinal epidural hematomas (SEH) and spinal subdural hematomas (SSH) in gravidas without underlying diseases are very rare, and their pathogenesis still remains unclear. This case report describes a rare patient who simultaneously developed an idiopathic SEH and an idiopathic SSH during pregnancy. The patient was a 31-year-old female at 28 weeks of gestation. She was transported to the hospital by ambulance with lumbar pain and lower extremity incomplete paresis. MRI showed a SSH at the thoracic (T) 4-6 vertebrae level and a SEH at the T7-8 vertebrae level. An emergency Caesarean section was thus performed to deliver the fetus, followed by posterior decompression of the thoracic spinal cord. After a favorable postoperative course, the patient successfully achieved full rehabilitation. SEH and SSH are rare diseases. Cross-sectional collaboration with the departments of anesthesiology and obstetrics and gynecology are important, since the diagnosis and treatment of gravidas issues requires special attention to delivery.