후방 경유법에 의한 경추부 수막종 제거후 발생한 전방 경막외 혈종 - 증례보고 -

Anterior Spinal Epidural Hematoma after Posterior Approach in Cervical Meningioma - Case Report -

  • 서동상 (순천향대학교 의과대학 신경외과학교실) ;
  • 김범태 (순천향대학교 의과대학 신경외과학교실) ;
  • 조성진 (순천향대학교 의과대학 신경외과학교실) ;
  • 장재칠 (순천향대학교 의과대학 신경외과학교실) ;
  • 신원한 (순천향대학교 의과대학 신경외과학교실) ;
  • 최순관 (순천향대학교 의과대학 신경외과학교실) ;
  • 변박장 (순천향대학교 의과대학 신경외과학교실)
  • Suh, Dong-Sang (Department of Neurosurgery, College of Medicine, Soonchunhyang University) ;
  • Kim, Bum-Tae (Department of Neurosurgery, College of Medicine, Soonchunhyang University) ;
  • Cho, Sung-Jin (Department of Neurosurgery, College of Medicine, Soonchunhyang University) ;
  • Chang, Jae-Chil (Department of Neurosurgery, College of Medicine, Soonchunhyang University) ;
  • Shin, Won-Han (Department of Neurosurgery, College of Medicine, Soonchunhyang University) ;
  • Choi, Soon-Kwan (Department of Neurosurgery, College of Medicine, Soonchunhyang University) ;
  • Byun, Bark-Jang (Department of Neurosurgery, College of Medicine, Soonchunhyang University)
  • 투고 : 1999.06.24
  • 심사 : 1999.09.07
  • 발행 : 2000.02.28

초록

We report a case of anterior spinal epidural hematoma, after removal of cervical meningioma by posterior approach, which occurred in a 61-year-old man who presented with left hemiparesis and hypalgesia. A cervical mass surgically confirmed as meningioma was removed by posterior approach. 3 hours after operation, the patient revealed quadriparesis with respiratory difficulty. We herewith report a rare case of anterior spinal epidural hematoma which caused a catastrophic aggrevation of postoperative course.

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