Document Detail


Spontaneous spinal epidural hematoma in pregnancy associated with using low molecular weight heparin.
MedLine Citation:
PMID:  19155946     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Spontaneous epidural hematoma of the spine occurring in pregnancy is uncommon and may result in permanent damage if not promptly treated. The use of low molecular weight heparin may be a risk factor for this condition. CASE: We describe the case of a woman who presented at 27 weeks of gestation with progressive back pain and leg weakness while being treated with low molecular weight heparin. A magnetic resonance imaging (MRI) examination of the spine revealed an epidural hematoma, which was surgically treated. A cesarean delivery was performed at 36 weeks of gestation. CONCLUSION: Spontaneous epidural hematoma of the spine may present in pregnant patients using low molecular weight heparin. The onset of neurologic symptoms and pain in these gravidas should be evaluated with MRI. Expeditious surgery is almost always the best treatment option.
Authors:
Evan Forsnes; Amy Occhino; Reinaldo Acosta
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  113     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-21     Completed Date:  2009-02-23     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  532-3     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, and Obstetric Hospitalist Program, Sacred Heart Medical Center, Spokane, Washington, USA. eforsnes@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Anticoagulants / adverse effects*
Antiphospholipid Syndrome / drug therapy
Cesarean Section
Enoxaparin / adverse effects*
Female
Hematoma, Epidural, Spinal / chemically induced*,  pathology,  surgery
Humans
Infant, Newborn
Laminectomy
Lumbar Vertebrae / pathology
Male
Pregnancy
Pregnancy Complications, Hematologic*
Thoracic Vertebrae / pathology
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Enoxaparin

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


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