Paraplegia in Pregnancy

BJOG: An International Journal of Obstetrics and Gynaecology, 2002

AJNR. American journal of neuroradiology, 2007

Patients with Klippel-Trenaunay-Weber syndrome present with venous varices, cutaneous capillary malformations, and tissue hypertrophy, usually involving an extremity. A small but important subset also harbors arteriovenous malformations (AVMs) of the spine. We report 2 such cases, 1 with 3 concurrent spinal arteriovenous fistulas. These cases and our review of the literature emphasize the importance of screening the spine for AVMs. In addition, it is also important to investigate for the presence of multiple spinal AVMs.

Sri Lankan Journal of Anaesthesiology, 2020

IP Innovative Publication Pvt. Ltd., 2017

Introduction: Klippel Trenaunay syndrome (KTS) is a rare congenital disorder, the etiology of which is unknown and it is characterised by vascular malformations. The incidence of pregnancy with Klippel Trenaunay syndrome is extremely rare with very few of them being reported and documented. To achieve successful maternal and fetal outcome a multidisciplinary team approach is very important. (1)

Turkiye Klinikleri Journal of Case Reports, 2018

European Journal of Obstetrics & Gynecology and Reproductive Biology, 1989

Journal of Neurosurgery: Case Lessons, 2022

BACKGROUND Klippel-Trénaunay syndrome (KTS) is a combined capillary-lymphatic-venous malformation disorder traditionally associated with high surgical morbidity. Although rare, pathologic involvement of the spinal cord has been reported in the literature. However, the safety of surgical intervention remains unclear. We report a case of successful decompression of a thoracic epidural lesion in an individual with KTS who presented with spastic paraparesis. OBSERVATIONS The patient is a 38-year-old male, diagnosed with KTS as an infant, who presented with spastic paraparesis secondary to a thoracic epidural lesion. He underwent laminectomies and resection of the lesion with subsequent improvement of his symptoms and without significant postoperative morbidity. Histopathology confirmed the lesion to be a benign vascular malformation. LESSONS Currently, the literature regarding management of symptomatic vascular lesions in individuals with KTS supports nonoperative management, due to the...

Revista brasileira de anestesiologia, 2018

Klippel-Trenaunay syndrome is a rare congenital vascular disease characterized by cutaneous hemangiomas, varicosities, and limb asymmetry, which may evolve with coagulation disorders and hemorrhage as more frequent complications in pregnant patients. Pregnancy is not advised in women with this syndrome due to increased obstetric risk. Female patient, 29 years old, 99kg, 167cm, BMI 35.4kg.m, physical status ASA III, with 27 weeks of gestational age and diagnosis of Klippel-Trenaunay syndrome. She was admitted to attempt inhibition of preterm labor. As manifestations of Klippel-Trenaunay syndrome, the patient presented with cerebral and cutaneous hemangioma, mainly in the trunk and lumbar region, paresis in the left upper and lower limbs, and limb asymmetry, requiring the use of a walking stick. Physical examination revealed absence of airway vascular malformations and Mallampati class 3. Laboratory tests were normal and abdominal angiotomography showed irregular uterus, with multiple...

Obstetrics and Gynecology International, 2010

Klippel-Trenaunay syndrome is a rare congenital vascular disorder, and only few cases have been described in pregnancy. We describe two cases, in one patient without complications, the other patient developed postpartum deep venous thrombosis.

Journal of Neuroimaging, 2009