Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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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)
  • Received : 2011.12.30
  • Accepted : 2013.02.04
  • Published : 2013.02.28
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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

References

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