Slimani Ouafae, Jayi Sofia, Fdili Alaoui Fatimazahra, Bouguern Hakima, Chaara Hekmat, Fikri Ghizlane, Alaoui Rachidi Siham, Sqalli Houssaini Nadia, Himmich Mariam, Abdelilah Melhouf Moulay
Department of Gynecology Obstetric II, Teaching Hospital Hassan II, Fez, Morocco.
J Med Case Rep. 2014 Jun 18;8:207. doi: 10.1186/1752-1947-8-207.
Pregnancy-related compressive myelopathy secondary to vertebral hemangioma is a rare occurrence and its treatment antepartum is rare.
A 19-year-old North African woman in her 38th week of pregnancy presented with paraplegia that progressed within 2 days after a rapidly progressive weakness of her lower limbs. Magnetic resonance imaging studies showed compression of her spinal cord in front of the fourth thoracic vertebra for suspected tuberculous spondylitis. A Caesarean section was done followed by corpectomy with a bone graft because we intraoperatively discovered a vertebral hemangioma. Pathology showed an aggressive hemangioma.
At any term of pregnancy, extensive neurological involvement which is rapidly progressive due to compression should be considered for immediate decompression.
继发于椎体血管瘤的妊娠相关压迫性脊髓病很少见，产前治疗更是罕见。
一名19岁的北非女性，怀孕38周，出现截瘫，在下肢迅速进行性无力后2天内病情进展。磁共振成像研究显示，疑似结核性脊柱炎导致第四胸椎前方脊髓受压。由于术中发现椎体血管瘤，进行了剖宫产，随后行椎体切除并植骨。病理显示为侵袭性血管瘤。
在妊娠的任何阶段，因压迫导致的迅速进展的广泛神经受累应考虑立即减压。
