Spinal epidural hematoma after pain control procedure.

Abstract:

:Spinal epidural hematoma is a rare complication associated with pain control procedures such as facet block, acupuncture, epidural injection, etc. Although it is an uncommon cause of acute myelopathy, and it may require surgical evacuation. We report four patients with epidural hematoma developed after pain control procedures. Two procedures were facet joint blocks and the others were epidural blocks. Pain was the predominant initial symptom in these patients while two patients presented with post-procedural neurological deficits. Surgical evacuation of the hematoma was performed in two patients while in remaining two patients, surgery was initially recommended but not performed since symptoms were progressively improved. Three patients showed near complete recovery except for one patient who recovered with residual deficits. Although, spinal epidural hematoma is a rare condition, it can lead to serious complications like spinal cord compression. Therefore, it is important to be cautious while performing spinal pain control procedure to avoid such complications. Surgical treatment is an effective option to resolve the spinal epidural hematoma.

journal_name

J Korean Neurosurg Soc

authors

Nam KH,Choi CH,Yang MS,Kang DW

doi

10.3340/jkns.2010.48.3.281

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

281-4

issue

3

eissn

2005-3711

issn

1598-7876

journal_volume

48

pub_type

  • Change of Pyogenic and Tuberculous Spondylitis between 2007 and 2016 Year : A Nationwide Study.

    abstract:OBJECTIVE:We attempted to compare the incidence of pyogenic spondylitis (PS) and tuberculous spondylitis (TS) between 2007 and 2016. Furthermore, we investigated the patients who underwent surgery in 2016 compared to that in 2007. METHODS:We used a nationwide database managed by the Korean National Health Insurance Se...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2020.0013

    authors: Kim YJ,Hong JB,Kim YS,Yi J,Choi JM,Sohn S

    更新日期:2020-11-01 00:00:00

  • Fusiform aneurysm presenting with cervical radiculopathy in ehlers-danlos syndrome.

    abstract::Ehlers-Danlos syndrome (EDS) type IV is characterized by its clinical manifestations, which are easy bruising, thin skin with visible veins, and rupture of arteries, uterus, or intestines. Arterial complications are the leading cause of death in vascular EDS because they are unpredictable and surgical repair is diffic...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2010.48.6.528

    authors: Kim HS,Choi CH,Lee TH,Kim SP

    更新日期:2010-12-01 00:00:00

  • Pre- and Post-Angioplasty Perfusion CT with Acetazolamide Challenge in Patients with Unilateral Cerebrovascular Stenotic Disease.

    abstract:OBJECTIVE:Perfusion computed tomography (PCT) has the ability to measure quantitative value and produce maps of mean transit time (MTT), cerebral blood flow (CBF), and cerebral blood volume (CBV). We assessed cerebral hemodynamics by using these parameters and acetazolamide (ACZ) challenge for pre- and post-procedural ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2013.54.4.280

    authors: You SH,Jo SM,Kim YJ,Lee JH,Jo KD,Park WS

    更新日期:2013-10-01 00:00:00

  • Isolated recurrence of intracranial granulocytic sarcoma mimicking a falx meningioma in acute myeloblastic leukemia.

    abstract::Intracranial granulocytic sarcomas are rare tumors, which are composed of immature granulocytic cells. Although it has been well known that these tumors are associated with acute myeloblastic leukemia (AML), they have been almost always related to bone marrow relapse. However, isolated recurrence of granulocytic sarco...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2010.47.5.385

    authors: Cho WH,Choi YJ,Choi BK,Cha SH

    更新日期:2010-05-01 00:00:00

  • Use of the sundt clip graft in a previously coiled internal carotid artery blister-like aneurysm.

    abstract::Owing to the focal wall defect covered with thin fibrous tissues, an aneurysm arising from the dorsal wall of the internal carotid artery (ICA) is difficult to manage either surgically or endovascularly and is often associated with high morbidity and mortality. Unfortunately, the definitive treatment modality of such ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2014.56.6.496

    authors: Cho JI,Cho JH

    更新日期:2014-12-01 00:00:00

  • The efficacy and safety of microvascular decompression for hemifacial spasm in elderly patients.

    abstract:OBJECTIVE:The purpose of this study was to examine the efficacy and safety of microvascular decompression (MVD) for hemifacial spasm (HFS) in elderly patients. METHODS:Between 1997 and June 2008, 1,174 patients had undergone MVD for HFS at our institute. Among these, 53 patients were older than 65 years. We retrospect...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2010.47.6.442

    authors: Jeon CJ,Kong DS,Lee JA,Park K

    更新日期:2010-06-01 00:00:00

  • Reduction of Inflammation and Enhancement of Motility after Pancreatic Islet Derived Stem Cell Transplantation Following Spinal Cord Injury.

    abstract:OBJECTIVE:Spinal cord injury (SCI) is a very serious health problem, usually caused by a trauma and accompanied by elevated levels of inflammation indicators. Stem cell-based therapy is promising some valuable strategies for its functional recovery. Nestinpositive progenitor and/or stem cells (SC) isolated from pancrea...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2018.0035

    authors: Karaoz E,Tepekoy F,Yilmaz I,Subasi C,Kabatas S

    更新日期:2019-03-01 00:00:00

  • Transcortical Endoscopic Surgery for Intraventricular Lesions.

    abstract::To review recent advances in endoscopic techniques for treating intraventricular lesions via transcortical passage. Articles in PubMed published since 2000 were searched using the keywords 'endoscopy,' 'endoscopic,' and 'neuroendoscopic.' Of these articles, those describing intraventricular lesions were reviewed. Supr...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章,评审

    doi:10.3340/jkns.2017.0101.008

    authors: Kim MH

    更新日期:2017-05-01 00:00:00

  • Spinal intradural extramedullary cavernoma presenting with intracranial superficial hemosiderosis.

    abstract::A case of intradural extramedullary cavernous angioma is presented with headache, dizziness, and bilateral sensorineural hearing loss caused by an intracranial superficial hemosiderosis. It was incidentally found in a patient with a 3-month history of sustained headache, dizziness and a 3-year history of hearing diffi...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2011.49.6.377

    authors: Jin YJ,Chung SB,Kim KJ,Kim HJ

    更新日期:2011-06-01 00:00:00

  • Glioblastoma Cellular Origin and the Firework Pattern of Cancer Genesis from the Subventricular Zone.

    abstract::Glioblastoma (GBM) is a disease without any definite cure. Numerous approaches have been tested in efforts to conquer this brain disease, but patients invariably experience recurrence or develop resistance to treatment. New surgical tools, carefully chosen samples, and experimental methods are enabling discoveries at ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2019.0129

    authors: Yoon SJ,Park J,Jang DS,Kim HJ,Lee JH,Jo E,Choi RJ,Shim JK,Moon JH,Kim EH,Chang JH,Lee JH,Kang SG

    更新日期:2020-01-01 00:00:00

  • Unpredictable postoperative global cerebral infarction in the patient of williams syndrome accompanying moyamoya disease.

    abstract::We report a rare case of Williams syndrome accompanying moyamoya disease in whom postoperative global cerebral infarction occurred unpredictably. Williams syndrome is an uncommon hereditary disorder associated with the connective tissue abnormalities and cardiovascular disease. To our knowledge, our case report is the...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2011.50.3.256

    authors: Sim YW,Lee MS,Kim YG,Kim DH

    更新日期:2011-09-01 00:00:00

  • Analysis According to Characteristics of 18 Cases of Brachial Plexus Tumors : A Review of Surgical Treatment Experience.

    abstract:OBJECTIVE:Because the anatomical structure of the brachial plexus is very complex, surgical treatment of tumors in this region is challenging. Therefore, a lot of clinical and surgical experience is required for successful treatment; however, many neurosurgeons have difficulty accumulating this experience owing to the ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2018.0045

    authors: Jung IH,Yoon KW,Kim YJ,Lee SK

    更新日期:2018-09-01 00:00:00

  • Comparative Study of Posterior Lumbar Interbody Fusion via Unilateral and Bilateral Approaches in Patients with Unilateral Leg Symptoms.

    abstract:OBJECTIVE:We investigated the clinical and radiological advantages of unilateral laminectomy in posterior lumbar interbody fusion (PLIF) procedure comparing with bilateral laminectomy, under the same procedural condition including bilateral instrumentation and insertion of two cages, in patients with degenerative lumba...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2011.50.4.363

    authors: Seong JH,Lee JW,Kwon KY,Rhee JJ,Hur JW,Lee HK

    更新日期:2011-10-01 00:00:00

  • Clinical Neuropathological Analysis of 10 Cases of Cerebral Amyloid Angiopathy-Related Cerebral Lobar Hemorrhage.

    abstract:OBJECTIVE:The clinical and pathological characteristics of 10 cases of cerebral amyloid angiopathy (CAA)-related cerebral lobar hemorrhage (CLH) that was diagnosed at autopsy were investigated to facilitate the diagnosis of this condition. METHODS:The clinical characteristics of 10 cases of CAA-related CLH were retros...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2015.58.1.30

    authors: Li XQ,Su DF,Chen HS,Fang Q

    更新日期:2015-07-01 00:00:00

  • Parasellar Extension Grades and Surgical Extent in Endoscopic Endonasal Transsphenoidal Surgery for Pituitary Adenomas : A Single Surgeon's Consecutive Series with the Aspects of Reliability and Clinical Validity.

    abstract:OBJECTIVE:The inter-rater reliability of the modified Knosp's classification was measured before the analysis. The clinical validity of the parasellar extension grading system was evaluated by investigating the extents of resection and complication rates among the grades in the endoscopic endonasal transsphenoidal surg...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2016.59.6.577

    authors: Lee SH,Park JS,Lee S,Kim SW,Hong YK

    更新日期:2016-11-01 00:00:00

  • L2 radicular compression caused by a foraminal extradural gas pseudocyst.

    abstract::Gas pseudocysts are a rare cause of lumbar radiculopathy and most symptomatic gas pseudocysts are found within the confines of the spinal canal. A gas pseudocyst in the foramen causing lumbar radiculopathy is very rare. We present a case of a 67-year-old woman suffering from severe pain in the right leg. Computed tomo...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2010.47.3.232

    authors: Lee DY,Lee SH

    更新日期:2010-03-01 00:00:00

  • Retrospective analysis on 76 cases of cerebral arteriovenous malformations treated by gamma knife radiosurgery.

    abstract:OBJECTIVE:Outcome of gamma knife radiosurgery (GKS) in the consecutive 100 cases with cerebral arteriovenous malformations (AVMs) was analyzed. METHODS:Data from initial 100 patients treated with GKS in the authors' institute were reviewed retrospectively. Spetzler-Martin grade at diagnosis were I in 18 patients, II i...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2008.43.6.265

    authors: Choe JG,Im YS,Kim JS,Hong SC,Shin HJ,Lee JI

    更新日期:2008-06-01 00:00:00

  • Congenital cleft of anterior arch and partial aplasia of the posterior arch of the c1.

    abstract::Congenital anomalies in arches of the atlas are rare, and are usually discovered incidentally. However, a very rare subgroup of patients with unique radiographic features is predisposed to transient quadriparesis after minor cervical or head trauma. A 46-year-old male presented with a 2-month history of tremor and hyp...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2011.49.3.178

    authors: Choi JW,Jeong JH,Moon SM,Hwang HS

    更新日期:2011-03-01 00:00:00

  • Chronic subdural hematomas : a comparative study of three types of operative procedures.

    abstract:OBJECTIVE:Several surgical procedures have been reported for the treatment of chronic subdural hematoma (CSDH). We compared the results of treatments for CSDH obtained from one burr-hole craniostomy with closed system drainage with or without irrigation, two burr-hole craniostomy with closed system drainage with irriga...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2009.46.3.210

    authors: Lee JK,Choi JH,Kim CH,Lee HK,Moon JG

    更新日期:2009-09-01 00:00:00

  • Patients on Anticoagulants after a Head Trauma : Is a Negative Initial CT Scan Enough? Report of a Case of Delayed Subdural Haematoma and Review of the Literature.

    abstract::Mild traumatic brain injury is common in elderly patients, many of whom are on anticoagulant. The common practice is to discharge these patients from the emergency room if the computed tomography (CT) of the brain is normal. However, a very small proportion of these patients may develop a life threatening intracranial...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2014.55.1.51

    authors: Hadjigeorgiou GF,Anagnostopoulos C,Chamilos C,Petsanas A

    更新日期:2014-01-01 00:00:00

  • Erratum: interspinous implant with unilateral laminotomy for bilateral decompression of degenerative lumbar spinal stenosis in elderly patients.

    abstract::[This corrects the article on p. 338 in vol. 47, PMID: 20539792.]. ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章,已发布勘误

    doi:10.3340/jkns.2010.47.6.480

    authors:

    更新日期:2010-06-01 00:00:00

  • Influence of history of brain disease or brain trauma on psychopathological abnormality in young male in Korea : analysis of multiphasic personal inventory test.

    abstract:OBJECTIVE:The purpose of this study is to confirm whether brain disease or brain trauma actually affect psychopathology in young male group in Korea. METHODS:The authors manually reviewed the result of Korean military multiphasic personal inventory (KMPI) in the examination of conscription in Korea from January 2008 t...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2011.50.2.114

    authors: Paik HK,Oh CH,Choi K,Kim CE,Yoon SH,Chung J

    更新日期:2011-08-01 00:00:00

  • Remifentanil-propofol sedation as an ambulatory anesthesia for carpal tunnel release.

    abstract:OBJECTIVE:This prospective study evaluated the use of continuous sedation using propofol and remifentanil when carpal tunnel release (CTR) was performed under local anesthesia. METHODS:We sedated 60 patients undergoing CTR using local anesthesia with remifentanil at loading and continuous doses of 0.5 µg kg(-1) and 0....

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2010.48.5.429

    authors: Lee JJ,Hwang SM,Jang JS,Lim SY,Heo DH,Cho YJ

    更新日期:2010-11-01 00:00:00

  • An Intradiscal Granuloma Due to a Retained Wooden Foreign Body.

    abstract::We report a patient with a wooden foreign body granuloma in the intervertebral disc space being symptomatic 17 years after a paraspinal penetrant trauma. According to the our result of the search for wooden foreign body granulomas, this is the first case suffered from a wooden foreign body granuloma in the interverteb...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2014.1112.008

    authors: Aladag MA,Durak MA

    更新日期:2017-03-01 00:00:00

  • Acute Spontaneous Subdural Hematoma due to Rupture of a Tiny Cortical Arteriovenous Malformation.

    abstract::Acute subdural hematoma (SDH) of arterial origin is rare, especially SDH associated with an arteriovenous malformation (AVM) is extremely rare. The authors report a case of acute spontaneous SDH due to rupture of a tiny cortical AVM. A 51-year-old male presented with sudden onset headache and mentality deterioration w...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2015.58.6.547

    authors: Choi HJ,Lee JI,Nam KH,Ko JK

    更新日期:2015-12-01 00:00:00

  • Initial Experience of ACE68 Reperfusion Catheter in Patients with Acute Ischemic Stroke Related to Internal Carotid Artery Occlusion.

    abstract:OBJECTIVE:Penumbra ACE68 reperfusion catheter is a new large bore aspiration catheter used for reperfusion of large vessel occlusion. The objective of this study was to investigate the efficacy of this catheter in comparison to that of previous Penumbra catheters in patients with acute ischemic stroke related to intern...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2019.0108

    authors: Jang HG,Park JS,Lee JM,Kwak HS

    更新日期:2019-09-01 00:00:00

  • Collision Tumor Composed of Meningioma and Cavernoma.

    abstract::A true collision tumor is a rare entity composed of two histologically distinct neoplasms coinciding in the same organ. This paper reports a unique case of cerebral collision tumor consisting of two benign components. On the first hand, meningioma which is usually a benign lesion arising from the meningothelial cell i...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2015.0707.011

    authors: Weigel J,Neher M,Schrey M,Wünsch PH,Steiner HH

    更新日期:2017-01-01 00:00:00

  • Acute Shunt Malfunction Caused by Percutaneous Endoscopic Gastrostomy without Shunt Infection.

    abstract::Percutaneous endoscopic gastrostomy tube placement is often performed in patients with a ventriculoperitoneal shunt and it has been accepted as a safe procedure. The authors report a case of a 50-year-old male who developed acute exacerbation of the hydrocephalus immediately after the percutaneous endoscopic gastrosto...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2014.56.4.361

    authors: Choi J,Ki SS,Park S

    更新日期:2014-10-01 00:00:00

  • Serious penetrating craniocerebral injury caused by a nail gun.

    abstract::Penetrating cerebral injuries caused by foreign bodies occur rarely due to the substantial mechanical protection offered by the skull. Throughout most of history, the brain, residing in a "closed box" of bone, has not been vulnerable to external aggression. Recently, we encountered a serious penetrating craniocerebral...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type:

    doi:10.3340/jkns.2014.56.6.537

    authors: Jeon YH,Kim DM,Kim SH,Kim SW

    更新日期:2014-12-01 00:00:00

  • Comparison between Initial and Recent Surgical Outcome of 15-Year Series of Surgically Remediable Epilepsy.

    abstract:OBJECTIVE:The aim of this study is to compare the surgical outcome of the initial and recent surgical cases, during our 15-years experience, in terms of the surgical strategies and the prognostic factors for surgically remediable epilepsy. METHODS:We retrospectively reviewed and compared the surgical outcomes between ...

    journal_title:Journal of Korean Neurosurgical Society

    pub_type: 杂志文章

    doi:10.3340/jkns.2010.48.3.230

    authors: Lee MH,Son EI

    更新日期:2010-09-01 00:00:00