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 journalArticlepeer-review

    13 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 languageEnglish
    Pages (from-to)325-327
    Number of pages3
    JournalNeurologia Medico-Chirurgica
    Volume47
    Issue number7
    DOIs
    Publication statusPublished - 2007

    Keywords

    • Infarction
    • Paraplegia
    • Spinal cord
    • Spinal epidural hematoma

    ASJC Scopus subject areas

    • Surgery
    • Clinical Neurology

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