title: Spinal cord infarction in diabetic pregnancy: a case report.
abstract: Spinal cord infarction (SCI) is uncommon as compared to cerebral stroke. Moreover, SCI during pregnancy is rare. Here, we report a case of SCI in diabetic pregnancy, properly diagnosed, promptly treated, and a good prognosis achieved. A 38-year-old, pregnant woman, para 1, with type 1 diabetes mellitus on insulin since 14 years of age, was admitted to our hospital for paresthesia and numbness in the lower left side of the body, with movement disturbances. On the basis of the temporal profile of the onset and the multiple resonance imaging scans, SCI was diagnosed. Steroid pulse therapy and low-dose aspirin administration was initiated. Her symptoms were improved and discharged. A repeat cesarean section was performed at 37 weeks of gestation and her postoperative course was uneventful. Her daily activities were not hindered severely, though she experienced defecation discomfort.
authors.affiliation: Department of Obstetrics and Gynecology, Teikyo University School of Medicine, Tokyo, Japan.
authors.forename: Takeru
authors.initials: T
authors.lastname: Sugihara
authors.forename: Koichiro
authors.initials: K
authors.lastname: Kido
authors.forename: Yukifumi
authors.initials: Y
authors.lastname: Sasamori
authors.forename: Masahiro
authors.initials: M
authors.lastname: Shiba
authors.forename: Takuya
authors.initials: T
authors.lastname: Ayabe
mesh_terms: D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D005260:Female; D006801:Humans; D007238:Infarction / Q000150:complications / Q000175:diagnosis*; D011247:Pregnancy; D011254:Pregnancy in Diabetics; D013116:Spinal Cord / Q000098:blood supply*
keywords: diabetes mellitus; pregnancy; spinal cord infarction