Spinal subdural hematoma following lumbar decompressive surgery: a report of two cases.

Abstract:

:Spinal subdural hematoma (SSDH) following spine surgery is an extremely rare condition, with only three cases being reported in the literature. Unintended durotomy has been associated with SSDH due to alterations of pressures in the dural compartments. The objective of the present report was to report two rare cases of acute SSDH developed after lumbar decompressive surgery. In one of the patients, the diagnosis of SSDH was followed by urgent hematoma evacuation via durotomy due to the patient's worsening neurological symptoms. In the second patient, the SSDH was treated conservatively due to the absence of severe or progressive motor or sensory deficits. In conclusion, emergency evacuation via durotomy is the treatment of choice for patients with SSDH and neurologic impairment. Conservative management may be indicated in selected cases with absent motor and sensory deficits.

journal_name

Wien Klin Wochenschr

authors

Lykissas MG,Aichmair A,Herzog RJ,Schroeder JE,Huang RC,Farmer J

doi

10.1007/s00508-014-0632-3

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

71-4

issue

1-2

eissn

0043-5325

issn

1613-7671

journal_volume

127

pub_type

杂志文章
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