Bouchez B, Gozet G, Le Coutour X, Kassiotis P, Puech F, Leroy J L, Arnott G, Delecour M
J Gynecol Obstet Biol Reprod (Paris). 1984;13(8):885-8.
A previously healthy 24 year old woman presented a progressive paraplegia during the third trimester of her second pregnancy. Partial improvement occurred after caesarian. The neuroradiological study revealed spinal cord compression by an extensive corporeo-pedicular angioma of the T2 vertebrae. Almost total recovery occurred after selective embolization. The occurrence of neurological complications of vertebral angiomas during pregnancy is rarely reported in the literature. Mechanisms of the spinal cord compression and their relations with the pregnancy are discussed and difficulties for diagnosis and treatment are emphasized. When technically possible, the embolization appears to be the most adapted treatment, especially for these extensive types of vertebral angioma.
一名既往健康的24岁女性在第二次怀孕的孕晚期出现进行性截瘫。剖宫产术后症状部分改善。神经放射学检查显示T2椎体广泛的椎体型椎旁血管瘤压迫脊髓。选择性栓塞术后几乎完全康复。孕期椎体血管瘤神经并发症的发生在文献中鲜有报道。本文讨论了脊髓压迫的机制及其与妊娠的关系，并强调了诊断和治疗的困难。在技术可行时，栓塞似乎是最合适的治疗方法，尤其是对于这些广泛类型的椎体血管瘤。
