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http://dx.doi.org/10.3340/jkns.2013.53.2.125

Cervical Spinal Epidural Hematoma Following Cervical Posterior Laminoforaminotomy  

Choi, Jeong Hoon (Department of Neurosurgery, Wooridul Spine Hospital)
Kim, Jin-Sung (Department of Neurosurgery, Spine Center, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine)
Lee, Sang-Ho (Department of Neurosurgery, Wooridul Spine Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.53, no.2, 2013 , pp. 125-128 More about this Journal
Abstract
A 65-year-old man who had lateral cervical disc herniation underwent cervical posterior laminoforaminotomy at C5-6 and C6-7 level right side. During the operation, there was no serious surgical bleeding event. After operation, he complained persistent right shoulder pain and neck pain. Repeated magnetic resonance image (MRI) showed diffuse cervical epidural hematoma (EDH) extending from C5 to T1 level right side and spinal cord compression at C5-6-7 level. He underwent exploration. There was active bleeding at muscular layer. Muscular active bleeding was controlled and intramuscular hematoma was removed. The patient's symptom was reduced after second operation. Symptomatic postoperative spinal EDH requiring reoperation is rare. Meticulous bleeding control is important before wound closure. In addition, if patient presents persistent or aggravated pain after operation, rapid evaluation using MRI and second look operation is needed as soon as possible.
Keywords
Cervical epidural hematoma; Posterior laminoforaminotomy; Cervical disc herniation; Postoperative bleeding; Reoperation;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Holly LT, Moftakhar P, Khoo LT, Wang JC, Shamie N : Minimally invasive 2-level posterior cervical foraminotomy : preliminary clinical results. J Spinal Disord Tech 20 : 20-24, 2007   DOI
2 Adamson TE : Microendoscopic posterior cervical laminoforaminotomy for unilateral radiculopathy : results of a new technique in 100 cases. J Neurosurg 95 (1 Suppl) : 51-57, 2001   DOI
3 Awad JN, Kebaish KM, Donigan J, Cohen DB, Kostuik JP : Analysis of the risk factors for the development of post-operative spinal epidural haematoma. J Bone Joint Surg Br 87 : 1248-1252, 2005
4 Henderson CM, Hennessy RG, Shuey HM Jr, Shackelford EG : Posterior-lateral foraminotomy as an exclusive operative technique for cervical radiculopathy : a review of 846 consecutively operated cases. Neurosurgery 13 : 504-512, 1983   DOI
5 Korinth MC, Krüger A, Oertel MF, Gilsbach JM : Posterior foraminotomy or anterior discectomy with polymethyl methacrylate interbody stabilization for cervical soft disc disease : results in 292 patients with monoradiculopathy. Spine (Phila Pa 1976) 31 : 1207-1214; discussion 1215-1216, 2006   DOI
6 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
7 Krupp W, Schattke H, Müke R : Clinical results of the foraminotomy as described by Frykholm for the treatment of lateral cervical disc herniation. Acta Neurochir (Wien) 107 : 22-29, 1990   DOI
8 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
9 Kumar GR, Maurice-Williams RS, Bradford R : Cervical foraminotomy : an effective treatment for cervical spondylotic radiculopathy. Br J Neurosurg 12 : 563-568, 1998   DOI
10 Lawton MT, Porter RW, Heiserman JE, Jacobowitz R, Sonntag VK, Dickman CA : Surgical management of spinal epidural hematoma : relationship between surgical timing and neurological outcome. J Neurosurg 83 : 1-7, 1995   DOI
11 Lee DY, Lee SH : Cervicothoracic spinal epidural hematoma after anterequiring rior cervical spinal surgery. J Korean Neurosurg Soc 48 : 541-543, 2010   DOI
12 Ruetten S, Komp M, Merk H, Godolias G : Full-endoscopic cervical posterior foraminotomy for the operation of lateral disc herniations using 5.9-mm endoscopes : a prospective, randomized, controlled study. Spine (Phila Pa 1976) 33 : 940-948, 2008   DOI
13 Semmes RE, Murphey F : The syndrome of unilateral rupture of the sixth cervical intervertebral disc. JAMA 121 : 1209-1214, 1943   DOI
14 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
15 Uribe J, Moza K, Jimenez O, Green B, Levi AD : Delayed postoperative spinal epidural hematomas. Spine J 3 : 125-129, 2003
16 Williams RW : Microcervical foraminotomy. A surgical alternative for intractable radicular pain. Spine (Phila Pa 1976) 8 : 708-716, 1983   DOI
17 Witzmann A, Hejazi N, Krasznai L : Posterior cervical foraminotomy. A follow-up study of 67 surgically treated patients with compressive radiculopathy. Neurosurg Rev 23 : 213-217, 2000   DOI
18 Zeidman SM, Ducker TB : Posterior cervical laminoforaminotomy for radiculopathy : review of 172 cases. Neurosurgery 33 : 356-362, 1993   DOI