[Spontaneous spinal epidural hematoma (author's transl)].

A case of spontaneous spinal epidural hematoma during pregnancy is reported. Although we operated the patient 14 hours after the initial symptoms, the functional prognosis was poor. It is believed that the spinal cord was damaged irreversibility because of the rapid development of spinal cord edema. Referring to the reported cases we discussed symptoms, diagnosis and therapy as well as etiology. As to our case it is supposed that the rise of epidural venous pressure due to the pregnancy caused the rupture of the epidural venous plexus. About spontaneous spinal epidural hematoma during pregnancy, so long as we examined, there is only one case report, which Bidzinski reported in 1966.