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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 |
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| ABSTRACT |
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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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