Abstract | STUDY DESIGN: Case report. OBJECTIVE: SUMMARY OF BACKGROUND DATA: METHODS: A 58-year-old woman was operated because of a herniated disc at lumbar L3-L4 level and spinal stenosis. Bilateral L3-L4 interlaminectomies and L3-L4 discectomy were performed. Hemovac drain was placed in epidural space. Four hours after surgery, the patient developed left side weakness accompanied with nausea, vomiting, and severe headache. Urgent computed tomography of the head showed acute cranial epidural hematoma and the patient underwent emergent surgery. There was no evidence of trauma of the scalp or any other anatomical abnormality. Control computed tomography 14 hours after evacuation of the hematoma showed new extradural hematoma at the site of the previous one. Patient underwent second surgery. RESULTS: Nine days after operation of the spine, patient recovered completely with no neurological deficit, but the cerebrospinal fluid showed at the place of spinal wound. Patient was operated once more and a minor dural tear was revealed, which was repaired. The patient was discharged on ninth postoperative and she recovered completely. CONCLUSION:
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Authors | Gordan Grahovac, Milorad Vilendecic, Darko Chudy, Dubravka Srdoc, Jasenka Skrlin |
Journal | Spine
(Spine (Phila Pa 1976))
Vol. 36
Issue 26
Pg. E1761-4
(Dec 15 2011)
ISSN: 1528-1159 [Electronic] United States |
PMID | 21508891
(Publication Type: Case Reports, Journal Article)
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Topics |
- Diskectomy
(adverse effects)
- Female
- Hematoma, Epidural, Cranial
(diagnostic imaging, etiology, surgery)
- Humans
- Intervertebral Disc Displacement
(surgery)
- Lumbar Vertebrae
(surgery)
- Middle Aged
- Postoperative Complications
(diagnostic imaging, surgery)
- Spinal Stenosis
(surgery)
- Tomography, X-Ray Computed
- Treatment Outcome
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