Hemorrhage of cavernous malformations during pregnancy and in the peripartum period: causal or coincidence? Case report and review of the literature.

Abstract:

:There is growing evidence to suggest that pregnancy may increase the risk of hemorrhage from cavernous malformations (CMs). In the present case, a 21-year-old primigravida was admitted to the authors' neurosurgical service after a cesarean section. Three weeks before admission she had experienced rapidly progressive bilateral lower-extremity paresthesias. Spinal magnetic resonance (MR) imaging revealed the presence of an intramedullary thoracic lesion. On T2-weighted MR images, heterogeneous signal intensity with a rim of decreased intensity was demonstrated in the spine. The mass was successfully resected, and 1 year later the patient's symptoms had resolved completely. This is the fourth reported case of a spinal intramedullary CM that became symptomatic during pregnancy. The pathogenesis and management of this entity are reviewed.

journal_name

Neurosurg Focus

journal_title

Neurosurgical focus

authors

Safavi-Abbasi S,Feiz-Erfan I,Spetzler RF,Kim L,Dogan S,Porter RW,Sonntag VK

doi

10.3171/foc.2006.21.1.13

subject

Has Abstract

pub_date

2006-07-15 00:00:00

pages

e12

issue

1

issn

1092-0684

pii

210112

journal_volume

21

pub_type

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