Cervicothoracic Spinal Epidural Hematoma after Anterior Cervical Spinal Surgery. |
Dong Yeob Lee, Sang Ho Lee |
Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea. nsdrlee@naver.com |
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ABSTRACT |
The purpose of this case report is to describe a rare case of a cervicothoracic spinal epidural hematoma (SEH) after anterior cervical spine surgery. A 60-year-old man complained of severe neck and arm pain 4 hours after anterior cervical discectomy and fusion at the C5-6 level.
Magnetic resonance imaging revealed a postoperative SEH extending from C1 to T4. Direct hemostasis and drainage of loculated hematoma at the C5-6 level completely improved the patient's condition. When a patient complains of severe neck and/or arm pain after anterior cervical spinal surgery, though rare, the possibility of a postoperative SEH extending to non-decompressed, adjacent levels should be considered as with our case. |
Key Words:
Cervical spine; Complication; Hematoma |
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