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Wiener klinische Wochenschrift
Erschienen in:

01.01.2015 | case report

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

verfasst von: Marios G. Lykissas, MD, PhD, Alexander Aichmair, MD, Richard J. Herzog, MD, Joshua E. Schroeder, MD, Russel C. Huang, MD, James Farmer, MD

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 1-2/2015

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Summary

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.
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Literatur
1.
Reinsel TE, Goldberg E, Granato DB, Wilkinson S, Penn R. Spinal subdural hematoma: a rare cause of recurrent postoperative radiculopathy. J Spinal Disord. 1993;6:62–7.PubMedCrossRef
2.
Gehri R, Zanetti M, Boos N. Subacute subdural haematoma complicating lumbar microdiscectomy. J Bone Joint Surg Br. 2000;82:1042–5.PubMedCrossRef
3.
Chang KC, Samartzis D, Luk KD, Cheung KM, Wong YW. Acute spinal subdural hematoma complicating lumbar decompressive surgery. Evid Based Spine Care J. 2012;3:57–62.PubMedCentralPubMedCrossRef
Metadaten
Titel
Spinal subdural hematoma following lumbar decompressive surgery: a report of two cases
verfasst von
Marios G. Lykissas, MD, PhD
Alexander Aichmair, MD
Richard J. Herzog, MD
Joshua E. Schroeder, MD
Russel C. Huang, MD
James Farmer, MD
Publikationsdatum
01.01.2015
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 1-2/2015
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-014-0632-3

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