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Spinal subdural hematoma following lumbar decompressive surgery: a report of two cases.
Wien Klin Wochenschr. 2015 Jan; 127(1-2):71-4.WK

Abstract

Spinal subdural hematoma (SSDH) following spine surgery is an extremely rare condition, with only three cases being reported in the literature. Unintended durotomy has been associated with SSDH due to alterations of pressures in the dural compartments. The objective of the present report was to report two rare cases of acute SSDH developed after lumbar decompressive surgery. In one of the patients, the diagnosis of SSDH was followed by urgent hematoma evacuation via durotomy due to the patient's worsening neurological symptoms. In the second patient, the SSDH was treated conservatively due to the absence of severe or progressive motor or sensory deficits. In conclusion, emergency evacuation via durotomy is the treatment of choice for patients with SSDH and neurologic impairment. Conservative management may be indicated in selected cases with absent motor and sensory deficits.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Lykissas MG
Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, 10021, New York, NY, USA, mariolyk@yahoo.com.
Aichmair A
No affiliation info available
Herzog RJ
No affiliation info available
Schroeder JE
No affiliation info available
Huang RC
No affiliation info available
Farmer J
No affiliation info available

MeSH

AgedDecompression, SurgicalHematoma, Subdural, SpinalHumansLumbar VertebraeMaleMiddle AgedSpinal StenosisTreatment Outcome

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25398290

Citation

Lykissas, Marios G., et al. "Spinal Subdural Hematoma Following Lumbar Decompressive Surgery: a Report of Two Cases." Wiener Klinische Wochenschrift, vol. 127, no. 1-2, 2015, pp. 71-4.
Lykissas MG, Aichmair A, Herzog RJ, et al. Spinal subdural hematoma following lumbar decompressive surgery: a report of two cases. Wien Klin Wochenschr. 2015;127(1-2):71-4.
Lykissas, M. G., Aichmair, A., Herzog, R. J., Schroeder, J. E., Huang, R. C., & Farmer, J. (2015). Spinal subdural hematoma following lumbar decompressive surgery: a report of two cases. Wiener Klinische Wochenschrift, 127(1-2), 71-4. https://doi.org/10.1007/s00508-014-0632-3
Lykissas MG, et al. Spinal Subdural Hematoma Following Lumbar Decompressive Surgery: a Report of Two Cases. Wien Klin Wochenschr. 2015;127(1-2):71-4. PubMed PMID: 25398290.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spinal subdural hematoma following lumbar decompressive surgery: a report of two cases. AU - Lykissas,Marios G, AU - Aichmair,Alexander, AU - Herzog,Richard J, AU - Schroeder,Joshua E, AU - Huang,Russel C, AU - Farmer,James, Y1 - 2014/11/15/ PY - 2014/01/22/received PY - 2014/10/07/accepted PY - 2014/11/16/entrez PY - 2014/11/16/pubmed PY - 2015/10/28/medline SP - 71 EP - 4 JF - Wiener klinische Wochenschrift JO - Wien Klin Wochenschr VL - 127 IS - 1-2 N2 - Spinal subdural hematoma (SSDH) following spine surgery is an extremely rare condition, with only three cases being reported in the literature. Unintended durotomy has been associated with SSDH due to alterations of pressures in the dural compartments. The objective of the present report was to report two rare cases of acute SSDH developed after lumbar decompressive surgery. In one of the patients, the diagnosis of SSDH was followed by urgent hematoma evacuation via durotomy due to the patient's worsening neurological symptoms. In the second patient, the SSDH was treated conservatively due to the absence of severe or progressive motor or sensory deficits. In conclusion, emergency evacuation via durotomy is the treatment of choice for patients with SSDH and neurologic impairment. Conservative management may be indicated in selected cases with absent motor and sensory deficits. SN - 1613-7671 UR - https://www.unboundmedicine.com/medline/citation/25398290/Spinal_subdural_hematoma_following_lumbar_decompressive_surgery:_a_report_of_two_cases_ DB - PRIME DP - Unbound Medicine ER -