Spontaneous Spinal Epidural Hematoma During Pregnancy: A Case Report.

Spontaneous spinal epidural hematoma (SSEH) during pregnancy is an extremely rare neurological emergency, often presenting with sudden neck pain and progressive limb weakness. This report describes a 26-year-old pregnant woman at 26 weeks of gestation who developed paraplegia and severe muscle weakness without prior trauma. MRI revealed a cervical epidural hematoma, leading to an emergency C6 and C7 laminectomy. Despite surgery, the patient remained quadriplegic, with follow-up MRI showing persistent myelomalacia. This case highlights the challenges of diagnosing and managing SSEH during pregnancy, emphasizing the need for prompt intervention and ongoing research to improve outcomes for affected patients.