IMR Press / CEOG / Volume 45 / Issue 3 / DOI: 10.12891/ceog3885.2018

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report
Spontaneous thoracic epidural hematoma after normal vaginal delivery: a case report and literature review
Show Less
1 Department of Neurosurgery, the First Affiliated Hospital of Soochow University, Suzhou, China
Clin. Exp. Obstet. Gynecol. 2018, 45(3), 459–463;
Published: 10 June 2018

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.
Spontaneous spinal epidural hematoma
Thoracic spine
Back to top