Acute and Delayed Epidural Hematoma After Total Spondylectomy for a Metastatic Spinal Tumor: A Case Report
Journal of Korean Society of Spine Surgery
;
: 94-99, 2019.
Artículo
en Coreano
| WPRIM
| ID: wpr-915689
ABSTRACT
OBJECTIVES@#We report a case of recurrent spinal epidural hematoma after total spondylectomy for a metastatic spinal tumor.SUMMARY OF LITERATURE REVIEW Postoperative epidural hematoma is rare, and no case of delayed epidural hematoma after hematoma removal has been reported.@*MATERIALS AND METHODS@#A 74-year-old woman experienced a ninth thoracic vertebral (T9) pathologic fracture caused by a metastatic spinal tumor and underwent total spondylectomy. Immediate postoperative epidural hematoma occurred and neurological symptoms appeared. After hematoma removal, the symptom improved. Ten days after surgery, the neurological symptoms worsened again. Spine magnetic resonance imaging showed delayed epidural hematoma. Hematoma removal was done again.@*RESULTS@#The patient's neurological symptoms improved after delayed hematoma removal.@*CONCLUSIONS@#Delayed hematoma that cause neurological symptoms may occur after primary hematoma removal. If neurological symptoms recur after hematoma removal, the surgeon should consider the possibility of hematoma recurrence. Before total spondylectomy surgery, preoperative embolization is recommended.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Idioma:
Coreano
Revista:
Journal of Korean Society of Spine Surgery
Año:
2019
Tipo del documento:
Artículo
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