Practice Interactive Case Report

A woman with acute myelopathy in pregnancy: case presentation

BMJ 2009; 339 doi: (Published 12 November 2009) Cite this as: BMJ 2009;339:b3862
  1. Reinhard Reuß, physician 1,
  2. Paulus S Rommer, researcher 1,
  3. Wolfgang Brück, professor2,
  4. Friedemann Paul, head of research group 39,
  5. Michael Bolz, senior physician4,
  6. Sven Jarius, neuroimmunologist5,
  7. Tobias Boettcher, clinical neurologist6,
  8. Annette Großmann, senior physician7,
  9. Alexander Bock, senior physician8,
  10. Frauke Zipp, professor9,
  11. Reiner Benecke, professor1,
  12. Uwe K Zettl, professor1
  1. 1Department of Neurology, University of Rostock, 18147 Rostock, Germany
  2. 2Institute of Neuropathology, University Medical Center Göttingen, Göttingen, Germany
  3. 3NeuroCure Clinical Research Center, Charité Universitätsmedizin Berlin, Berlin, Germany
  4. 4Department of Gynaecology, University of Rostock
  5. 5Division of Molecular Neuroimmunology, Department of Neurology, University of Heidelberg, Heidelberg, Germany
  6. 6Neurology Division, Dietrich-Bonhoeffer Klinikum Neubrandenburg, Neubrandenburg, Germany
  7. 7Department of Radiology, University of Rostock
  8. 8Neuroradiology Division, Dietrich-Bonhoeffer Klinikum Neubrandenburg
  9. 9Cecilie-Vogt Clinic for Neurology, Charité-Universitätsmedizin, Berlin
  1. Correspondence to: R Reuß reinhard.reuss{at}
  • Accepted 14 August 2009

In March 2006, Andrea G, a 23 year old white nulliparous woman who was 17 weeks pregnant, was referred to her local neurology department. She had been experiencing hypoaesthesia of the right leg for seven days and of the left leg for two days. Since the previous day she had also been experiencing a focal weakness of the left leg and an inability to void her bladder adequately.

One month earlier she had experienced back pain, which was relieved by physiotherapy. For the past 14 days, she had again been experiencing lumbar pain and pain of …

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