Acute Spinal Epidural Hematoma Following Unilateral Laminectomy for Bilateral Decompression.
- Author:
Dong Yeob LEE
1
;
Sang Ho LEE
;
Jee Soo JANG
Author Information
1. Department of Neurosurgery, Gimpo Airport Wooridul Spine Hospital, Seoul, Korea. nsspine@paran.com
- Publication Type:Case Report
- Keywords:
Epidural hematoma;
Laminectomy;
Lumbar;
Stenosis
- MeSH:
Buttocks;
Constriction, Pathologic;
Decompression*;
Emergencies;
Hematoma, Epidural, Spinal*;
Humans;
Laminectomy*;
Male;
Middle Aged;
Paraparesis;
Spinal Stenosis;
Tomography, X-Ray Computed
- From:Journal of Korean Neurosurgical Society
2006;40(1):35-37
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a case of acute spinal epidural hematoma(EDH) following unilateral laminectomy for bilateral decompression(ULBD). A 45-year-old male presented with severe multi-level spinal stenosis underwent ULBD on the left side at the L2-3 and L3-4 level. Five hours after operation, paraparesis developed along with severe bilateral buttock pain. The CT scan showed an acute spinal EDH at the L2-3 level. The acute spinal EDH was successfully decompressed after emergency decompressive surgery with performing an additional laminectomy on the contralateral side at the L2-3 level. Although ULBD is an effective minimally invasive surgical technique for treating spinal stenosis, the possibility of acute spinal EDH should be kept in mind, as happened in our case.
