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Journal of Korean Neurosurgical Society 2003;34(5): 464-466.
Rebleeding of Intramedullary Cavernous Angioma during Pregnancy.
Won Ki Yoon, Seung Chul Rhim, Sung Woo Roh, Shin Kwang Kang
1Department of Neurological Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea. scrhim@amc.seoul.kr
2Department of Pathology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
ABSTRACT
The authors report a rare case of aggravated myelopathy due to rebleeding of intramedullary cavernous angioma during pregnancy. A 29-year-old woman with a intramedullary cavernous angioma of the lower thoracic spinal cord was initially managed with a conservative treatment. She suffered the progressive paraparesis 16 months later during the 3rd trimester of her pregnancy. The follow-up magnetic resonance imaging revealed rebleeding of the previous cavernous angioma. The entire lesion was resected with a standard microsurgical technique after delivery, and her neurological symptoms subsequently resolved.
Key Words: Cavernous angioma; Rebleeding; Pregnancy
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