Spinal Tuberculosis with Paraplegia in Pregnancy: a Case Report with Management of Spinal TB in Pregnancy

Authors

  • Sushruti Kaushal Department of Obstetrics & Gynaecology, Vivekanand medical institute, palampur, Himachal Pradesh, India
  • Santosh Kumar Dora Department of Obstetrics & Gynaecology, Vivekanand Medical Institute, palampur, Himachal Pradesh, India.
  • Sunil Thakur Department of anaesthesia and critical care, Vivekanand medical institute, palampur, Himachal Pradesh, India.

DOI:

https://doi.org/10.31729/jnma.2773

Keywords:

paraplegia; pregnancy; spinal tuberculosis.

Abstract

Spinal tuberculosis leading to paraplegia is uncommon in pregnancy and is a diagnostic and therapeutic challenge. We report a case of tubercular paraplegia presenting at 35 weeks of gestation. She was managed with Anti-tubercular drugs and did not require surgical intervention. Her neurological status improved and she was allowed to go in labour. She delivered a healthy term infant by cesarean. At three months follow-up, both mother and child are doing well. 

Keywords: paraplegia; pregnancy; spinal tuberculosis.

References

Global tuberculosis report ,WHO 2013.
2. Wurtz R, Quader Z, Simon D, Langer B. Cervical tuberculous
vertebral osteomyelitis: case report and discussion of the
literature. Clin Infect Dis 1993; 16: 806–808.
3. Tulli SM. Management and results. In: Tuberculosis of skeletal
system, 3rd ed. New Delhi, India:Jaypee, 2004:265.
4. Efferen LS. Tuberculosis and pregnancy. Curr Opin Pulm
Med,2007;13:205–1.
5. Clinical obstetrics and gynecology Volume 53, Number 2,
311–321,20108.
6. Kiran NS, Vaishya S, Kale SS, et al. Surgical results in
patients with tuberculosis of the spine and severe lowerextremity
motor deficits: a retrospective study of 48 patients.
J Neurosurg Spine 2007;6:320–6.
7. Moon MS, Moon JL, Moon YW, et al. Pott’s paraplegia in
patients with severely deformed dorsal or dorsolumbar
spines: treatment and prognosis. Spinal Cord 2003;41:164–1
8. Govender S, Moodley SC, Grootboom MJ. Tuberculosis
paraplegia during pregnancy; a report of four cases. S Afr
Med J 1989;75;190-2.
9. Jana N, Vasishta K, Saha S. C, Ghosh K.Obstetrical outcomes
among women with extrapulmonary tuberculosis. (N Engl J
Med 1999;341:645-9)

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Published

2015-06-30

How to Cite

Kaushal, S., Dora, S. K., & Thakur, S. (2015). Spinal Tuberculosis with Paraplegia in Pregnancy: a Case Report with Management of Spinal TB in Pregnancy. Journal of Nepal Medical Association, 53(198), 123–125. https://doi.org/10.31729/jnma.2773

Issue

Vol. 53 No. 198 (2015)

Section

Case Reports

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