Browse > Article
http://dx.doi.org/10.3340/jkns.2010.48.6.541

Cervicothoracic Spinal Epidural Hematoma after Anterior Cervical Spinal Surgery  

Lee, Dong-Yeob (Department of Neurosurgery, Wooridul Spine Hospital)
Lee, Sang-Ho (Department of Neurosurgery, Wooridul Spine Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.48, no.6, 2010 , pp. 541-543 More about this Journal
Abstract
The purpose of this case report is to describe a rare case of a cervicothoracic spinal epidural hematoma (SEH) after anterior cervical spine surgery. A 60-year-old man complained of severe neck and arm pain 4 hours after anterior cervical discectomy and fusion at the C5-6 level. Magnetic resonance imaging revealed a postoperative SEH extending from C1 to T4. Direct hemostasis and drainage of loculated hematoma at the C5-6 level completely improved the patient's condition. When a patient complains of severe neck and/or arm pain after anterior cervical spinal surgery, though rare, the possibility of a postoperative SEH extending to non-decompressed, adjacent levels should be considered as with our case.
Keywords
Cervical spine; Complication; Hematoma;
Citations & Related Records

Times Cited By Web Of Science : 1  (Related Records In Web of Science)
Times Cited By SCOPUS : 2
연도 인용수 순위
  • Reference
1 Awad JN, Kebaish KM, Donigan J, Cohen DB, Kostuik JP : Analysis of the risk factors for the development of post-operative spinal epidural hematoma. J Bone Joint Surg Br 87 : 1248-1252, 2005   DOI   ScienceOn
2 Kotilainen E, Alanen A, Erkintalo M, Helenius H, Valtonen S : Postoperative hematomas after successful lumbar microdiscectomy or percutaneous nucleotomy : a magnetic resoanance imaging study. Surg Neurol 41 : 98-105, 1994   DOI   ScienceOn
3 Wang MC, Chan L, Maiman DJ, Kreuter W, Deyo RA : Complications and mortality associated with cervical spine surgery for degenerative disease in the United States. Spine 32 : 342-347, 2007   DOI   ScienceOn
4 Yi S, Yoon do H, Kim KN, Kim SH, Shin HC : Postoperative spinal epidural hematoma : risk factor and clinical outcome. Yonsei Med J 47 : 326-332, 2006   DOI   ScienceOn
5 Hans P, Delleuze PP, Born JD, Bonhomme V : Epidural hematoma after cervical spine surgery. J Neurosurg Anesthesiol 15 : 282-285, 2003   DOI   ScienceOn
6 Renkens KL Jr, Payner TD, Leipzig TJ, Feuer H, Morone MA, Koers JM, et al. : A multicenter, prospective, randomized trial evaluating a new hemostatic agent for spinal surgery. Spine (Phila Pa 1976) 26 : 1645-1650, 2001   DOI   ScienceOn
7 Sokolowski MJ, Garvey TA, Perl J 2nd, Sokolowski MR, Cho W, Mehbod AA, et al. : Prospective study of postoperative lumbar epidural hematoma: incidence and risk factors. Spine (Phila Pa 1976) 33 : 108- 113, 2008   DOI   ScienceOn
8 Kou J, Fischgrund J, Biddinger A, Herkowitz H : Risk factors for spinal epidural hematoma after spinal surgery. Spine (Phila Pa 1976) 27 : 1670-1673, 2002   DOI   ScienceOn
9 Lawton MT, Porter RW, Heiserman JE, Jacobowitz R, Sonntag VKH, Dickman CA : Surgical management of spinal epidural hematoma : relationship between surgical timing and neurological outcome. J Neurosurg 83 : 1-7, 1995   DOI   ScienceOn
10 Neo M, Sakamoto T, Fujibayashi S, Nakamura T : Delayed postoperative spinal epidural hematoma causing tetraplegia. Case report. J Neurosurg Spine 5 : 251-253, 2006   DOI   ScienceOn
11 Ikuta K, Tono O, Tanaka T, Arima J, Nakano S, Sasaki K, et al. : Evaluation of postoperative spinal epidural hematoma after microendoscopic posterior decompression for lumbar spinal stenosis : a clinical and magnetic resonance imaging study. J Neurosurg Spine 5 : 404-409, 2006   DOI   ScienceOn