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

Kaushal, Sushruti; Dora, Santosh Kumar; Kumar, Parimalam

doi:10.31729/jnma.2773

Cited by 4 publications

(6 citation statements)

References 2 publications

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“… 19 24 28 29 39 44 45 47 49 50 52 54 55 57–59 61 64 66 68 72–76 Some resulted in recommendation and subsequent termination of pregnancy, 56 57 59 77 78 induced abortion 49 62 79 or unplanned caesarean section or induction. 24 25 27 29 36 38 39 53 72 74 For example, one case report described a woman with suspected genitourinary TB prior to pregnancy who suffered from severe pre-eclampsia and postpartum complication of pyelonephritis with unplanned induction. 72 …”

Section: Resultsmentioning

confidence: 99%

Examining family planning and adverse pregnancy outcomes for women with active tuberculosis disease: a systematic review

et al. 2022

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Objectives(1) Summarise and evaluate the current evidence of tuberculosis (TB)-associated pregnancy outcomes, (2) evaluate the state of the science of family planning during TB treatment and (3) provide recommendations to move forward to improve care and outcomes during TB disease.DesignSystematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.Data sourcesPubMed, Embase, CINAHL, Cochrane, Web of Science and Scopus were searched from September 2009 to November 2021.Eligibility criteriaStudies were included if they assessed pregnant women with active TB, drug-resistant TB (DR-TB) or TB/HIV coinfection and examined pregnancy, maternal, fetal/birth and TB or TB/HIV coinfection outcomes. Studies were also included if they examined family planning services among women initiating TB treatment.Data extraction and synthesisTwo independent reviewers extracted data using PRISMA guidelines and conducted quality assessment using the Joanna-Briggs Institute Critical Appraisal Tools. The level of evidence was reported using the Johns Hopkins Evidence-Based Practice guidelines.Results69 studies were included in this review. Case reports, case series, case controls, cohort studies, secondary data analyses and a service delivery improvement project conducted in 26 countries made up the totality of the evidence. Most studies reported pregnancy complications for mothers (anaemia, postpartum haemorrhage, deaths) and fetuses or newborns (low birth weight, premature birth, and spontaneous or induced abortions). Few studies discussed the value of offering family planning to prevent adverse pregnancy outcomes. One study examined the effect of a provider training on contraceptive use with reported increased contraceptive use.ConclusionsIntegrating family planning services within a TB treatment programme is essential to reduce adverse TB-associated maternal-child outcomes. Despite well-established adverse pregnancy outcomes, little attention has been paid to family planning to prevent poor pregnancy outcomes for women with TB/DR-TB. Recommendations for clinicians, TB programmes and researchers are provided and reflect evidence presented in this review.

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Section: Resultsmentioning

confidence: 99%

Examining family planning and adverse pregnancy outcomes for women with active tuberculosis disease: a systematic review

et al. 2022

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“…Mohanty et al found an aggressive hemangioma causing paraparesis in term pregnant lady presenting for CS. She recovered eventually without surgery [ 1 , 2 , 3 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Non-traumatic paraplegia developing in pregnancy is rare phenomenon with only sporadic reports [ 1 , 2 , 3 ]. Spontaneous development of spinal epidural hematoma (SEH) without any predisposing factor is rare and even more sporadic in pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Spinal Epidural Hematoma in a Near-term Pregnant Patient

Naik¹,

Jain²,

Sethi³

et al. 2022

JOCR

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Introduction: Spontaneous development of spinal epidural hematoma (SEH) is rare condition with acute presentation and usually associated with some predisposing factors. Early diagnosis and management of SEH are very important because of the risk of permanent neurological deficit. Case Report: Here, we report a rare case of SEH in young pregnant female at 35 week of gestation who presented with short history of paraplegia that was diagnosed on magnetic resonance imaging (MRI) and treated successfully with delivery of the baby by caesarean section and release of cord compression by laminectomy. Conclusion: Spontaneous SEH can be rarely seen in pregnancy. MRI is the investigation of choice. Clinical suspicion is necessary for early management and better prognosis.

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“…2 To our knowledge, only three case reports of acute-onset paraplegia in term pregnancy have been noted in the past two decades. 3,4,5…”

Section: Discussionmentioning

confidence: 99%

A case of acute-onset paraplegia due to spinal tuberculosis in term pregnancy

2022

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Acute paraplegia in pregnancy is uncommon but can result from pathology including Guillain-Barre syndrome, acute transverse myelitis, and spinal tuberculosis, also known as Pott's disease of the spine. India has a high incidence of tuberculosis (2.8 million cases annually) therefore spinal tuberculosis is a particularly important disease to consider during pregnancy. Management of spinal tuberculosis in pregnancy poses a challenge especially at term gestation as immobilization of the spine and maintaining supination is difficult, particularly at delivery.

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

Cited by 4 publications

References 2 publications

Examining family planning and adverse pregnancy outcomes for women with active tuberculosis disease: a systematic review

Examining family planning and adverse pregnancy outcomes for women with active tuberculosis disease: a systematic review

Spontaneous Spinal Epidural Hematoma in a Near-term Pregnant Patient

A case of acute-onset paraplegia due to spinal tuberculosis in term pregnancy

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