Dr Bhupendra Chaudhary et al JMSCR Volume 03 Issue 12 December Page 8680 JMSCR Vol||3||Issue||12||Page 8680-8683||December 2015 Rare Cause of Post-Partum Spontaneous Paraplegia: Spontaneous Spinal Epidural Hematoma – MRI Findings a Case Report Authors Dr Bhupendra Chaudhary 1 , Dr Seema Alwadhi 2 , Dr Supreethi Kohli 3 , Dr Sahaj Chopra 2 , Dr Vikas Yadav 2 1 Senior Resident, Department of Radio-Diagnosis, ESI Model Hospital & PGIMSR, Basaidarapur, Delhi 2 Specialist, Department of Radio-Diagnosis, ESI Model Hospital & PGIMSR, Basaidarapur, Delhi 3 Head of Dept, Department of Radio-Diagnosis, ESI Model Hospital & PGIMSR, Basaidarapur, Delhi ABSTRACT Spontaneous spinal epidural hematoma (SSEH) is anextremely rare entity with incidence rate of 0.1 per 100,000 per year and causes sudden onset of neurological deficit in patient in post-partum period with no preceding underlying cause or intra partum cause resulting in spontaneous spinal epidural hematoma. We present a case of sudden onset paraplegia in post-partum period with on investigation shows epidural hematoma in dorsolumbar region with adjacent myelopathic changes. MRI is the investigation of choice to diagnose and to see the extent of lesion and help in planning further management of patient. Our patient went surgical removal of hematoma and in post operated period showed rapid reversal of neurological symptoms. Keywords: Spontaneous spinal epidural hematoma, SSEH, post-partum paraplegia, sudden onset paraplegia INTRODUCTION Spontaneous spinal epidural hematoma (SSEH) is a rare cause of rapidly progressive neurological deficit so early diagnosis and management is necessary to prevent permanent disability. It is rare with incidence rate of 0.1 per 100,000 per year [1] . Common causes includes [2] minor trauma, coagulopathy, anticoagulant therapy, vascular malformation, transient vascular hypertension, disc herniation and idiopathic causes. We present a case of acute onset paraplegia in post-partum status with no predisposing factor which was diagnosed on MRI as a case of epidural hematoma involving D12 to L2 level. CASE REPORT A 29 year old female patient was admitted in our hospital with acute onset paraplegia. She had given birth to her third child by normal vaginal delivery. Her antenatal course had been uneventful. There was no history of trauma, drug use or any physical exertion. On 3 rd postpartum day she experienced sudden onset lower backache with numbness in both lower limbs while urinating.Next morning she developed persistent backache and was unable to walk with subsequent involvement of bowel and bladder. Patient was admitted to casualty of our hospital.On admission she was conscious, well oriented, and afebrile with decreased tone of bilateral lower limbs and absent deep tendon reflexes at knee and ankle joint with sensory deficit below the level of L1. www.jmscr.igmpublication.org Impact Factor 3.79 Index Copernicus Value: 5.88 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: http://dx.doi.org/10.18535/jmscr/v3i12.36