Ependymomas are the most common intramedullary spinal cord tumors in adults. Although a hemorrhage within spinal ependymoma on imaging studies is not uncommon, it has rarely been reported to bea cause of acute neurological deficit. In the present report, we describe a case of a 24-year-old female patient who developed acute paraplegia as a result of hemorrhagic spinal ependymoma immediately after a cesarean delivery under spinal regional anesthesia. We review the literature of hemorrhagic spinal ependymomas presenting with acute neurological deficit and discuss the most appropriate treatment for a good neurological recovery.
Adult ; Anesthesia, Conduction ; Anesthesia, Spinal* ; Ependymoma* ; Female ; Hemorrhage ; Humans ; Masks* ; Paraplegia* ; Spinal Cord Neoplasms ; Young Adult

Ependymomas are the most common intramedullary spinal cord tumors in adults. Although a hemorrhage within spinal ependymoma on imaging studies is not uncommon, it has rarely been reported to bea cause of acute neurological deficit. In the present report, we describe a case of a 24-year-old female patient who developed acute paraplegia as a result of hemorrhagic spinal ependymoma immediately after a cesarean delivery under spinal regional anesthesia. We review the literature of hemorrhagic spinal ependymomas presenting with acute neurological deficit and discuss the most appropriate treatment for a good neurological recovery.
Adult ; Anesthesia, Conduction ; Anesthesia, Spinal* ; Ependymoma* ; Female ; Hemorrhage ; Humans ; Masks* ; Paraplegia* ; Spinal Cord Neoplasms ; Young Adult