Tuberculous paraplegia in pregnancy treated by surgery.
Tuberculous paraplegia in pregnancy is reported to be rare. Paraplegia due to tuberculosis has a good prognosis if surgical decompression and stabilisation are done early together with chemotherapy. Vaginal delivery is not contraindicated in pregnancy complicated by paraplegia, but is associated with problems related to the initiation and progression of labour. Performing spinal nursing on an unstable spine with a rapidly enlarging gravid uterus in the third trimester of pregnancy poses a significant challenge. We report successful simultaneous Caesarean section and surgical treatment of a paraplegic spine due to tuberculosis.
Department of Orthopaedics, Hospital Seremban, Negeri Sembilan, Malaysia. harws@pd.jaring.my
Harwant
H
Singh
Jaspal
J
Singh
Borhan Tan
BT
Abdullah
Alex
A
Matthews
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D016025:Bone Transplantation; D002585:Cesarean Section; D003131:Combined Modality Therapy; D019299:Decompression, Surgical; D004322:Drainage; D005260:Female; D006801:Humans; D010264:Paraplegia / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery*; D013904:Thoracic Vertebrae; D016896:Treatment Outcome; D014399:Tuberculosis, Spinal / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery*
D000995:Antitubercular Agents