Document Detail

Postpartum spinal cord injury in a woman with HELLP syndrome.
MedLine Citation:
PMID:  18795483     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report a rare cause of spinal cord injury.
STUDY DESIGN: Case report.
CASE REPORT: A 36-year-old woman presented with acute onset of paresis of the upper and lower extremity (level C5, ASIA B) the day after delivering a healthy daughter (39 weeks' gestation). Prior to giving birth, she was admitted with gestational hypertension. Directly postpartum, blood pressure increased markedly, and hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome was diagnosed. The next day, tetraplegia developed. Magnetic resonance imaging showed multiple epidural and subdural hematomas in the cervical and thoracic spinal canal extending from C2 to T8, with displacement and compression of the cord. Three weeks after treatment with intravenous labetalol, she made a significant recovery (level T1, ASIA D).
CONCLUSIONS: This rare cause of spinal cord injury shows the importance of closely monitoring pregnant patients with hypertension complicated with HELLP syndrome both pre- and postpartum.
Jan T Groothuis; Jan T Groothius; Dirk H van Kuppevelt
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of spinal cord medicine     Volume:  31     ISSN:  1079-0268     ISO Abbreviation:  J Spinal Cord Med     Publication Date:  2008  
Date Detail:
Created Date:  2008-09-17     Completed Date:  2008-12-12     Revised Date:  2013-06-05    
Medline Journal Info:
Nlm Unique ID:  9504452     Medline TA:  J Spinal Cord Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  309-11     Citation Subset:  IM    
Department of Rehabilitation Medicine, St. Maartenskliniek, Nijmegen, The Netherlands. [corrected]
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MeSH Terms
HELLP Syndrome / physiopathology*
Magnetic Resonance Imaging
Postpartum Period*
Spinal Cord Injuries / complications*
Erratum In:
J Spinal Cord Med. 2008;31(5):499
Note: Groothius, Jan T [corrected to Groothuis, Jan T]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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