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Updated: May 4, 2026

Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage
Published on: August 30, 2020
Acute spinal hematoma during pregnancy: A case report
Sangam Jha1, Vikas Chandra Jha2, Vivek Saran Sinha2
1Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Patna, Bihar, India.
Background:
Spontaneous spinal subdural-epidural hematoma during pregnancy is rare.
Case Description:
A 29-year-old gravida II patient experienced the onset of vomiting, headache, and progressive paraparesis. The initial non-contrast brain computed tomography and coagulation profiles were negative. The next day, the spine magnetic resonance imaging (MRI) revealed a C7-T4 epidural hematoma; contrast studies revealed no accompanying vascular lesions. On day 3, she underwent a cesarean delivery followed by a C3-T1 laminectomy. Her sensory and sphincteric function returned on postoperative day 2, but at 6 postoperative months, she continued to exhibit a 3/5 paraparesis.
Conclusion:
Pregnant patients with acute paraparesis should undergo STAT MRI screening of the spine to look for epidural/subdural hematomas.
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