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KMID : 1101620180290020097
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Perinatology
2018 Volume.29 No. 2 p.97 ~ p.100
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Spinal Cord Infarction Following Total Hysterectomy Due to Severe Postpartum Hemorrhage
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Kim So-Ryeong
Park Jin-Wan
Kim Jong-Soo
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Abstract
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Spinal cord infarction (SCI) is a rare but often disastrous disorder caused by various pathologic status. The research reports a 34-year-old woman developed SCI after spinal anesthesia for relieving labor pain and total hysterectomy, due to postpartum hemorrhage. Three times of spinal anesthesia were performed, two for controlling labor pain, which were succeeded and one for cesarean delivery, which was failed. After delivery, she was referred to Dankook University Hospital because of uterine atony. On arrival in the emergency room, the blood pressure decreased to 58/32 mmHg, she had a pulse rate of 144 beats/min. While emergent total hysterectomy was performed, she remained hemodynamically stable and there was no episode of hypotension. Since she complained of immobility and loss of sensations the day after the operation, magnetic resonance imaging was performed and showed ischemic change at central portion of the spinal cord at T8 to L1 level.
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KEYWORD
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Infarction, Paraplegia, Postpartum hemorrhage, Spinal cord
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