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Syringomyelia and pregnancy-case report
G J Daskalakis1, C N Katsetos, I S Papageorgiou
1First Department of Obstetrics and Gynaecology, Alexandra Maternity Hospital, University of Athens, 80 Vas. Sofias Ave., Athens 115 28, Greece.
Summary
Pregnancy in women with syringomyelia presents unique challenges. This case study details managing neurologic symptoms during pregnancy, culminating in a cesarean delivery to ensure maternal and infant safety.
Area of Science:
- Neurology
- Obstetrics
- Spinal Cord Medicine
Background:
- Syringomyelia, a condition causing fluid-filled cavities in the spinal cord, can complicate pregnancy.
- Pregnancy may exacerbate neurologic symptoms in women with pre-existing spinal cord conditions.
- Management requires careful consideration of maternal neurologic status and fetal well-being.
Observation:
- A pregnant woman with a history of spinal cord injury presented with new neurologic symptoms at 28 weeks' gestation.
- Magnetic resonance imaging (MRI) confirmed syringomyelia as the cause of her symptoms.
- The patient's neurologic condition necessitated close monitoring throughout her pregnancy.
Findings:
- The patient's pregnancy progressed with significant neurologic compromise.
- Delivery was planned electively at 37 weeks' gestation via cesarean section.
- General anesthesia was used to prevent the strain associated with vaginal labor.
Implications:
- This case highlights the importance of multidisciplinary care for pregnant women with syringomyelia.
- Early diagnosis and intervention are crucial for managing neurologic deterioration during pregnancy.
- Cesarean delivery can be a safe option to mitigate risks associated with labor in affected patients.