Cervical Spinal Epidural Hematoma Following Cervical Posterior Laminoforaminotomy.
10.3340/jkns.2013.53.2.125
- Author:
Jeong Hoon CHOI
1
;
Jin Sung KIM
;
Sang Ho LEE
Author Information
1. Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Cervical epidural hematoma;
Posterior laminoforaminotomy;
Cervical disc herniation;
Postoperative bleeding;
Reoperation
- MeSH:
Hematoma;
Hematoma, Epidural, Spinal;
Hemorrhage;
Humans;
Magnetic Resonance Spectroscopy;
Neck Pain;
Reoperation;
Shoulder Pain;
Spinal Cord Compression
- From:Journal of Korean Neurosurgical Society
2013;53(2):125-128
- CountryRepublic of Korea
- Language:English
-
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.
