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Spinal Tuberculosis with Paraplegia in Pregnancy
S Kaushal1, S K Dora1, S Thakur2
1Department of Obstetrics & Gynaecology, Vivekanand medical institute, palampur, Himachal Pradesh, India.
JNMA; Journal of the Nepal Medical Association
|March 20, 2016
Summary
Spinal tuberculosis causing paraplegia during pregnancy is rare. This case highlights successful management with anti-tubercular drugs, leading to neurological improvement and a healthy delivery.
Area of Science:
- Neurology
- Obstetrics
- Infectious Diseases
Background:
- Spinal tuberculosis (Pott's disease) is an uncommon cause of paraplegia.
- Pregnancy presents unique diagnostic and therapeutic challenges in managing spinal tuberculosis.
Observation:
- A case of spinal tuberculosis presenting as paraplegia at 35 weeks of gestation is described.
- The patient presented with neurological deficits affecting mobility.
Findings:
- Conservative management with anti-tubercular drugs was initiated.
- Surgical intervention was not required for this patient.
- Neurological status showed improvement following medical treatment.
Implications:
- Non-surgical management of spinal tuberculosis-induced paraplegia in late pregnancy is feasible.
- Successful outcomes for both mother and neonate can be achieved with timely medical intervention.
- This case contributes to understanding the management of rare neurological complications during pregnancy.
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