Spinal cord infarction after decompressive laminectomy for spontaneous spinal epidural hematoma - Case report

Juno Park; Jang Bo Lee; Jung Yul Park; Dong Jun Lim; Sang Dae Kim; Yong Ku Chung

doi:10.2176/nmc.47.325

Spinal cord infarction after decompressive laminectomy for spontaneous spinal epidural hematoma - Case report

Juno Park, Jang Bo Lee, Jung Yul Park, Dong Jun Lim, Sang Dae Kim, Yong Ku Chung

Research output: Contribution to journal › Article › peer-review

15 Citations (Scopus)

Abstract

A 68-year-old woman presented to the emergency department for evaluation of bilateral leg weakness. On admission, she had paraparesis with incomplete sensory deficit. Magnetic resonance (MR) imaging of the thoracolumbar spine revealed spontaneous spinal epidural hematoma (SSEH) compressing the spinal cord. The patient was taken to the operating room for urgent surgical decompression and evacuation of the SSEH. After the surgery, she woke up with complete paraplegia. Postoperative MR imaging showed the spinal cord was edematous, with minimal remnant hematoma. MR imaging after 1 month clearly showed anterior spinal artery thrombosis. No significant neurological improvement occurred during the 3-month follow up. Surgeons should consider the possibility of this devastating complication before aggressive and early surgical intervention in a patient with SSEH causing cord compression and neurological deficit.

Original language	English
Pages (from-to)	325-327
Number of pages	3
Journal	Neurologia Medico-Chirurgica
Volume	47
Issue number	7
DOIs	https://doi.org/10.2176/nmc.47.325
Publication status	Published - 2007
Externally published	Yes

Keywords

Infarction
Paraplegia
Spinal cord
Spinal epidural hematoma

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.2176/nmc.47.325

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abstract = "A 68-year-old woman presented to the emergency department for evaluation of bilateral leg weakness. On admission, she had paraparesis with incomplete sensory deficit. Magnetic resonance (MR) imaging of the thoracolumbar spine revealed spontaneous spinal epidural hematoma (SSEH) compressing the spinal cord. The patient was taken to the operating room for urgent surgical decompression and evacuation of the SSEH. After the surgery, she woke up with complete paraplegia. Postoperative MR imaging showed the spinal cord was edematous, with minimal remnant hematoma. MR imaging after 1 month clearly showed anterior spinal artery thrombosis. No significant neurological improvement occurred during the 3-month follow up. Surgeons should consider the possibility of this devastating complication before aggressive and early surgical intervention in a patient with SSEH causing cord compression and neurological deficit.",

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T1 - Spinal cord infarction after decompressive laminectomy for spontaneous spinal epidural hematoma - Case report

AU - Park, Juno

AU - Lee, Jang Bo

AU - Park, Jung Yul

AU - Lim, Dong Jun

AU - Kim, Sang Dae

AU - Chung, Yong Ku

PY - 2007

Y1 - 2007

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AB - A 68-year-old woman presented to the emergency department for evaluation of bilateral leg weakness. On admission, she had paraparesis with incomplete sensory deficit. Magnetic resonance (MR) imaging of the thoracolumbar spine revealed spontaneous spinal epidural hematoma (SSEH) compressing the spinal cord. The patient was taken to the operating room for urgent surgical decompression and evacuation of the SSEH. After the surgery, she woke up with complete paraplegia. Postoperative MR imaging showed the spinal cord was edematous, with minimal remnant hematoma. MR imaging after 1 month clearly showed anterior spinal artery thrombosis. No significant neurological improvement occurred during the 3-month follow up. Surgeons should consider the possibility of this devastating complication before aggressive and early surgical intervention in a patient with SSEH causing cord compression and neurological deficit.

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KW - Paraplegia

KW - Spinal cord

KW - Spinal epidural hematoma

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Spinal cord infarction after decompressive laminectomy for spontaneous spinal epidural hematoma - Case report

Abstract

Keywords

ASJC Scopus subject areas

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