A rare case of postpartum paraplegia due to spinal intradural hematoma.

Surgical neurology international Pub Date : 2025-06-27 eCollection Date: 2025-01-01 DOI:10.25259/SNI_413_2025

Anmol Singh Randhawa, Swarjith Nimmakayala, Pankaj Gupta, Bhawani Shanker Sharma, Rohin Bhatia, Yogesh Agrawal, Jitendra Singh Verma

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Abstract

Background: Spinal intradural hematomas rarely occur following spinal anesthesia. In this case, a 34-year-old postpartum female developed conus-cauda paraplegia (T12/L1-L5) due to an acute subdural hematoma after spinal anesthesia.

Case description: Four-day postpartum, a 34-year-old female presented with severe paraplegia (1/5 motor power), complete T12-L1 sensory loss, and bowel incontinence. The lumbar magnetic resonance imaging (MRI) revealed a subacute subdural hematoma extending from the L1 to L5 levels. An urgent L1-L5 laminectomy was performed for clot evacuation. Within 3 postoperative months, she regained 4+/5 motor strength bilaterally and full bowel/bladder control.

Conclusion: Spinal anesthesia may cause acute/subacute subdural hematomas. Here, 4-day postpartum, a 34-year-old female became paraplegic due to a subacute T12-L5 subdural hematoma documented on an MRI scan. She underwent emergent decompression, and within 3 postoperative months, regained nearly normal function.

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产后脑膜内血肿致截瘫一例。

背景：脊髓硬膜内血肿在脊髓麻醉后很少发生。在本病例中，一位34岁的产后女性在脊髓麻醉后因急性硬膜下血肿而出现尾圆锥截瘫（T12/L1-L5）。病例描述：产后4天，34岁女性，表现为严重截瘫（1/5运动功率），T12-L1感觉完全丧失，大便失禁。腰椎磁共振成像（MRI）显示亚急性硬膜下血肿从L1延伸到L5水平。紧急L1-L5椎板切除术以清除血块。术后3个月内，患者恢复了4+/5双侧运动力量和完全的肠/膀胱控制。结论：脊髓麻醉可引起急性/亚急性硬膜下血肿。产后4天，一名34岁女性因MRI扫描记录的亚急性T12-L5硬膜下血肿而截瘫。她接受了紧急减压，术后3个月内恢复了几乎正常的功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgical neurology international

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