A case of emergency cesarean section complicated with spontaneous spinal epidural hematoma

Spontaneous spinal epidural hematoma (SSEH) is an especially rare medical condition in pregnancy. We report a case of SSEH in pregnancy. A 29-year-old woman at 39 weeks of pregnancy was transported to our hospital with sudden back pain, incomplete paresis of the right lower extremity and paresthesia of the left lower extremity. Magnetic resonance imaging showed an epidural hematoma at T5-6 vertebral level. Emergency cesarean section and posterior decompression of the thoracic spinal cord were performed under general anesthesia. Vascular malformation and tumor of the spinal cord were not found, and we diagnosed this case as SSEH. The patient and her baby were discharged on the postoperative day 14 without any complications.