Article (Scientific journals)
Epidural hematoma after cervical spine surgery.
Hans, Pol; Delleuze, Pierre Philippe; Born, Jacques Daniel et al.
2003In Journal of Neurosurgical Anesthesiology, 15 (3), p. 282-5
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Keywords :
Cervical Vertebrae/surgery; Female; Hematoma, Epidural, Cranial/etiology/pathology/surgery; Humans; Intervertebral Disk Displacement/surgery; Magnetic Resonance Imaging; Middle Aged; Postoperative Complications/pathology/surgery
Abstract :
[en] The authors report an acute epidural hematoma after the surgical removal of a cervical C6-C7 disc herniation through an anterolateral approach of the cervical spine. Clinical history consisted of respiratory distress and flaccid tetraplegia that appeared 2.5 hours after surgery. Without any complementary radiologic investigation, the patient was immediately transferred to the operating room for a second look, which was unsuccessful. Magnetic resonance imaging performed after this second surgical procedure showed an anterior cervical hematoma extending from C3 to T3 without significant spinal cord compression. A cervical laminectomy was performed to evacuate the hematoma. The patient was extubated the next morning and discharged from the hospital after 5 days with no residual neurologic deficit. An extensive postoperative investigation revealed no coagulation disorder.
Disciplines :
Anesthesia & intensive care
Surgery
Author, co-author :
Hans, Pol ;  Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Delleuze, Pierre Philippe
Born, Jacques Daniel
Bonhomme, Vincent  ;  Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Language :
English
Title :
Epidural hematoma after cervical spine surgery.
Publication date :
2003
Journal title :
Journal of Neurosurgical Anesthesiology
ISSN :
0898-4921
eISSN :
1537-1921
Publisher :
Lippincott Williams & Wilkins, Hagerstown, United States - Maryland
Volume :
15
Issue :
3
Pages :
282-5
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 02 February 2009

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