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Postpartum Paraparesis Due to Aggressive Vertebral Hemangioma Causing Spinal Cord Compression Presenting for Emergency Cesarean Section

  • Chitta Ranjan Mohanty
  • Mantu Jain
  • Chinmaya Dash
  • Shashi Shankar Behera
Case Report

Introduction

Vertebral hemangiomas are common benign vascular tumors of the spine occurring in 10–12% of population that largely remain asymptomatic. Only in less than 1% of cases, they behave aggressively and become symptomatic [1]. Pregnancy is a known risk factor due to altered physiological changes (hemodynamic and hormonal changes). The management of these symptomatic vertebral hemangiomas during pregnancy is challenging and controversial [2]. We report a case of management of sudden onset of paraparesis, admitted for emergency cesarean in our hospital.

CaseA 29-year-old primigravida patient with full term pregnancy was referred for fetal distress to our hospital. She didn't have regular ANC visits. On pre-anesthetic evaluation, she gave history of back pain for the last 5 days and mild weakness of both lower limbs for the last 2 days. In view of fetal distress, a thorough neurological examination could not be done and patient was taken up for cesarean section under general...

Notes

Authors’ Contributions

CM and CD first saw the patient. SSB was the operating surgeon, while CM was the anesthetist. MJ was the involved spine surgeon along with CD. SSB and  CD followed up the patient. MJ and CM wrote up the paper. All authors read and approved the manuscript

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest, financial or otherwise.

Informed Consent

Informed consent was obtained from this patient in this report.

References

  1. 1.
    Chi JH, Manley GT, Chou D. Pregnancy-related vertebral hemangioma. Case report, review of the literature, and management algorithm. Neurosurg Focus [Internet]. 2005;19(3):E7. Available from: papers2://publication/uuid/EB91BB47-7800-4922-8293-9787253C895F.Google Scholar
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    Slimani O, Jayi S, Fdili Alaoui F, et al. An aggressive vertebral hemangioma in pregnancy: a case report. J Med Case Rep. 2014;8(1):1–4.CrossRefGoogle Scholar
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    Gupta M, Nayak R, Singh H. Pregnancy related symptomatic vertebral hemangioma. Ann Indian Acad Neurol. 2014;17(1):120–2.CrossRefPubMedCentralGoogle Scholar
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    Vijay K, Shetty AP, Rajasekaran S. Symptomatic vertebral hemangioma in pregnancy treated antepartum. A case report with review of literature. Eur Spine J. 2008;17(SUPPL.2):299–303.CrossRefGoogle Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2018

Authors and Affiliations

  1. 1.Department of Trauma and EmergencyAll India Institute of Medical ScienceBhubaneswarIndia
  2. 2.Department of OrthopedicsAll India Institute of Medical SciencesBhubaneswarIndia
  3. 3.Department of Obstetrics and GynecologyAll India Institute of Medical SciencesBhubaneswarIndia

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