Journal of Korean Neurosurgical Society

  • 제47권5호
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  • Pages.381-384
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  • 2010
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Clinical Experience and Management of Cervico-Thoracic Epidural Hematoma

  • Ahn, Sang-Soak (Department of Neurosurgery, College of Medicine, Dong-A University) ;
  • Song, Young-Jin (Department of Neurosurgery, College of Medicine, Dong-A University)
  • 투고 : 2009.08.17
  • 심사 : 2010.02.08
  • 발행 : 2010.05.28
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초록

Spinal epidural hematoma (SEH) causing acute myelopathy is rare. The usual clinical presentation of a SEH is sudden severe neck or back pain that progresses toward paraparesis or quadriparesis, depending on the level of the lesion. Recent studies have shown that early decompressive surgery is very important for patient's recovery. We experienced five patients of cervico-thoracic epidural hematomas associated with neurologic deficits that were treated successfully with surgical intervention.

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참고문헌

  1. Abbasi A, Malhotra G, Malanga G, Elovic EP, Kahn S : Complications of interlaminar cervical epidural steroid injections : a review of the literature. Spine (Phila Pa 1976) 32 : 2144-2151, 2007 https://doi.org/10.1097/BRS.0b013e318145a360
  2. Baek BS, Hur JW, Kwon KY, Lee HK : Spontaneous spinal epidural hematoma. J Korean Neurosurg Soc 44 : 40-42, 2008 https://doi.org/10.3340/jkns.2008.44.1.40
  3. Benzon HT, Wong HY, Siddiqui T, Ondra S : Caution in performing epidural injections in patients on several antiplatelet drugs. Anesthesiology 91 : 1558-1559, 1999
  4. Botwin KP, Castellanos R, Rao S, Hanna AF, Torres-Ramos FM, Gruber RD, et al. : Complications of fluoroscopically guided interlaminar cervical epidural injections. Arch Phys Med Rehabil 84 : 627- 633, 2003 https://doi.org/10.1016/S0003-9993(02)04862-1
  5. Derby R, Lee SH, Kim BJ, Chen Y, Seo KS : Complications following cervical epidural steroid injections by expert interventionalists in 2003. Pain Physician 7 : 445-449, 2004
  6. Hong WJ, Lee SG, Park CW, Kim WK, Yoo CJ, Park CW : Awareness for serious spinal complications predicted after acupuncture procedures for pain control. J Korean Neurosurg Soc 36 : 130-134, 2004
  7. Jeon JS, Cho SM, Cho YJ, Hong SK : Hemorrhage in the cisterna magna after acupuncture. J Korean Neurosurg Soc 36 : 412-414, 2004
  8. Kato S, Seki H, Koshu K : Acute cervical spinal epidural hematoma with spontaneous resolution--case report. Neurol Med Chir (Tokyo) 34 : 23-26, 1994 https://doi.org/10.2176/nmc.34.23
  9. Kreppel D, Antoniadis G, Seeling W : Spinal hematoma : a literature survey with meta-analysis of 613 patients. Neurosurg Rev 26 : 1-49, 2003 https://doi.org/10.1007/s10143-002-0224-y
  10. Kuker W, Thiex R, Friese S, Freudenstein D, Reinges MH, Ernemann U, et al. : Spinal subdural and epidural haematomas : diagnostic and therapeutic aspects in acute and subacute cases. Acta Neurochir (Wien) 142 : 777-785, 2000 https://doi.org/10.1007/s007010070092
  11. Lee JH, Lee JK, Seo BR, Moon SJ, Kim JH, Kim SH : Spinal cord injury produced by direct damage during cervical transforaminal epidural injection. Reg Anesth Pain Med 33 : 377-379, 2008 https://doi.org/10.1097/00115550-200807000-00016
  12. Lee JY, Nassr A, Ponnappan RK : Epidural hematoma causing paraplegia after a fluoroscopically guided cervical nerve-root injection. A case report. J Bone Joint Surg Am 89 : 2037-2039, 2007 https://doi.org/10.2106/JBJS.F.01332
  13. Ng WH, Lim CC, Ng PY, Tan KK : Spinal epidural haematoma : MRI-aided diagnosis. J Clin Neurosci 9 : 92-94, 2002 https://doi.org/10.1054/jocn.2001.0918
  14. Stoll A, Sanchez M : Epidural hematoma after epidural block : implications for its use in pain management. Surg Neurol 57 : 235-240, 2002 https://doi.org/10.1016/S0090-3019(02)00639-0

피인용 문헌

  1. Spinal epidural hematoma related to an epidural catheter in a cardiac surgery patient -A case report- vol.61, pp.6, 2011, https://doi.org/10.4097/kjae.2011.61.6.524
  2. Postoperative Symptomatic Anterior Spinal Epidural Hematoma: Complete Drainage Using Corpectomy and a Bladder Catheter vol.41, pp.22, 2016, https://doi.org/10.1097/brs.0000000000001609