Cervicothoracic Spinal Epidural Hematoma after Anterior Cervical Spinal Surgery.
10.3340/jkns.2010.48.6.541
- Author:
Dong Yeob LEE
1
;
Sang Ho LEE
Author Information
1. Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea. nsdrlee@naver.com
- Publication Type:Case Report
- Keywords:
Cervical spine;
Complication;
Hematoma
- MeSH:
Arm;
Diskectomy;
Drainage;
Hematoma;
Hematoma, Epidural, Spinal;
Hemostasis;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Neck;
Spine
- From:Journal of Korean Neurosurgical Society
2010;48(6):541-543
- CountryRepublic of Korea
- Language:English
-
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.
