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Journal of Korean Neurosurgical Society 2006;40(1): 35-37.
Acute Spinal Epidural Hematoma Following Unilateral Laminectomy for Bilateral Decompression.
Dong Yeob Lee, Sang Ho Lee, Jee Soo Jang
Department of Neurosurgery, Gimpo Airport Wooridul Spine Hospital, Seoul, Korea. nsspine@paran.com
We present a case of acute spinal epidural hematoma(EDH) following unilateral laminectomy for bilateral decompression(ULBD). A 45-year-old male presented with severe multi-level spinal stenosis underwent ULBD on the left side at the L2-3 and L3-4 level. Five hours after operation, paraparesis developed along with severe bilateral buttock pain. The CT scan showed an acute spinal EDH at the L2-3 level. The acute spinal EDH was successfully decompressed after emergency decompressive surgery with performing an additional laminectomy on the contralateral side at the L2-3 level. Although ULBD is an effective minimally invasive surgical technique for treating spinal stenosis, the possibility of acute spinal EDH should be kept in mind, as happened in our case.
Key Words: Epidural hematoma; Laminectomy; Lumbar; Stenosis
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