Spontaneous spinal epidural hematoma (SSEH) after cesarean section under epidural anesthesia: A case report
Spontaneous spinal epidural hematoma (SSEH) is an uncommon condition that can lead to severe neurological injuries, often accompanied by back pain. Pregnancy is identified as a risk factor for SSEH. Early diagnosis of SSEH presents challenges due to its atypical manifestations and the use of intrasp...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023100636 |
| _version_ | 1797383906673033216 |
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| author | Hua Wu Xuezhu Huang |
| author_facet | Hua Wu Xuezhu Huang |
| author_sort | Hua Wu |
| collection | DOAJ |
| description | Spontaneous spinal epidural hematoma (SSEH) is an uncommon condition that can lead to severe neurological injuries, often accompanied by back pain. Pregnancy is identified as a risk factor for SSEH. Early diagnosis of SSEH presents challenges due to its atypical manifestations and the use of intraspinal anesthesia and analgesic techniques. In this case, we present the instance of a 29-year-old woman who initially received epidural labor analgesia during the first stage of labor but subsequently required a cesarean section under epidural anesthesia according to amniotic fluid turbidity. Unfortunately, the anomalous recovery of neurological function in her left lower extremity was not given sufficient attention at an early stage, and paralysis in the non-puncture segment occurred 45.5 hours after the initial puncture. Interestingly, she did not experience any back pain during these procedures. MRI examination and consultation with neurosurgeons confirmed the diagnosis of SSEH, prompting the patient to undergo emergency decompression surgery. She made an incomplete recovery 17 months after the operation. This case emphasizes the importance of considering the possibility of SSEH in pregnant women undergoing epidural analgesia, highlighting the need for spinal imaging and early neurosurgical interventions to facilitate treatment. |
| first_indexed | 2024-03-08T21:27:48Z |
| format | Article |
| id | doaj.art-088f59df14bb4ebc88dc91ac21702e25 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-08T21:27:48Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-088f59df14bb4ebc88dc91ac21702e252023-12-21T07:34:53ZengElsevierHeliyon2405-84402023-12-01912e22855Spontaneous spinal epidural hematoma (SSEH) after cesarean section under epidural anesthesia: A case reportHua Wu0Xuezhu Huang1Department of Anesthesiology, Women and Children's Hospital of Chongqing Medical University (Chongqing Health Center for Women and Children), Chongqing, ChinaCorresponding author.; Department of Anesthesiology, Women and Children's Hospital of Chongqing Medical University (Chongqing Health Center for Women and Children), Chongqing, ChinaSpontaneous spinal epidural hematoma (SSEH) is an uncommon condition that can lead to severe neurological injuries, often accompanied by back pain. Pregnancy is identified as a risk factor for SSEH. Early diagnosis of SSEH presents challenges due to its atypical manifestations and the use of intraspinal anesthesia and analgesic techniques. In this case, we present the instance of a 29-year-old woman who initially received epidural labor analgesia during the first stage of labor but subsequently required a cesarean section under epidural anesthesia according to amniotic fluid turbidity. Unfortunately, the anomalous recovery of neurological function in her left lower extremity was not given sufficient attention at an early stage, and paralysis in the non-puncture segment occurred 45.5 hours after the initial puncture. Interestingly, she did not experience any back pain during these procedures. MRI examination and consultation with neurosurgeons confirmed the diagnosis of SSEH, prompting the patient to undergo emergency decompression surgery. She made an incomplete recovery 17 months after the operation. This case emphasizes the importance of considering the possibility of SSEH in pregnant women undergoing epidural analgesia, highlighting the need for spinal imaging and early neurosurgical interventions to facilitate treatment.http://www.sciencedirect.com/science/article/pii/S2405844023100636Cesarean sectionCase reportEpidural anesthesiaLabor analgesiaSpinal epidural hematoma |
| spellingShingle | Hua Wu Xuezhu Huang Spontaneous spinal epidural hematoma (SSEH) after cesarean section under epidural anesthesia: A case report Heliyon Cesarean section Case report Epidural anesthesia Labor analgesia Spinal epidural hematoma |
| title | Spontaneous spinal epidural hematoma (SSEH) after cesarean section under epidural anesthesia: A case report |
| title_full | Spontaneous spinal epidural hematoma (SSEH) after cesarean section under epidural anesthesia: A case report |
| title_fullStr | Spontaneous spinal epidural hematoma (SSEH) after cesarean section under epidural anesthesia: A case report |
| title_full_unstemmed | Spontaneous spinal epidural hematoma (SSEH) after cesarean section under epidural anesthesia: A case report |
| title_short | Spontaneous spinal epidural hematoma (SSEH) after cesarean section under epidural anesthesia: A case report |
| title_sort | spontaneous spinal epidural hematoma sseh after cesarean section under epidural anesthesia a case report |
| topic | Cesarean section Case report Epidural anesthesia Labor analgesia Spinal epidural hematoma |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023100636 |
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