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Delayed Onset Neurological Deterioration due to a Spinal Epidural Hematoma after a Spine Fracture

Authors
 Jung Won Ha  ;  Jin Oh Park  ;  Jeong-Gil Lee  ;  Hak Sun Kim  ;  Ju Young Kim  ;  Chong Hyuk Choi  ;  Eun Su Moon 
Citation
 ASIAN SPINE JOURNAL, Vol.1(2) : 98-101, 2007 
Journal Title
 ASIAN SPINE JOURNAL 
ISSN
 1976-1902 
Issue Date
2007
Abstract
There are no reports of a 7-day delay in the onset of neurological deterioration because of a spinal epidural hematoma (SEH) after a spinal fracture. A hematoma was detected from the T12 to L2 area in a 36-year-old male patient with a T12 burst fracture. On the same day, the patient underwent in situ posterior pedicle instrumentation on T10-L3 with no additional laminectomy. On the seventh postoperative day, the patient suddenly developed weakness and sensory changes in both extremities, together with a sharp pain. A MRI showed that the hematoma had definitely increased in size. A partial laminectomy was performed 12 hours after the onset of symptoms. Two days after surgery, recovery of neurological function was noted. This case shows that spinal surgeons need to be aware of the possible occurrence of a delayed aggravated SEH and neurological deterioration after a spinal fracture.
Files in This Item:
T200701651.pdf Download
DOI
10.4184/asj.2007.1.2.98
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ju Young(김주영)
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
Moon, Eun Su(문은수)
Park, Jin Oh(박진오)
Choi, Chong Hyuk(최종혁) ORCID logo https://orcid.org/0000-0002-9080-4904
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95675
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