If you and your spouse file separate returns and one of you itemizes deductions, the other spouse will not qualify for the standard deduction and should also itemize deductions.
You may be able to claim itemized deductions on a separate 
  return for certain expenses that you paid separately or jointly with your spouse. 
  Deductible expenses that are paid out of separate funds, such as medical expenses, 
  are deductible by the spouse who pays them. If these expenses are paid from 
  community funds, the deduction may depend on whether or not you live in a community 
  property state. In a community property state, the deduction is divided equally 
  between you and your spouse.