J Korean Neurosurg Soc.  2010 Dec;48(6):541-543. 10.3340/jkns.2010.48.6.541.

Cervicothoracic Spinal Epidural Hematoma after Anterior Cervical Spinal Surgery

Affiliations
  • 1Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea. nsdrlee@naver.com

Abstract

The purpose of this case report is to describe a rare case of a cervicothoracic spinal epidural hematoma (SEH) after anterior cervical spine surgery. A 60-year-old man complained of severe neck and arm pain 4 hours after anterior cervical discectomy and fusion at the C5-6 level. Magnetic resonance imaging revealed a postoperative SEH extending from C1 to T4. Direct hemostasis and drainage of loculated hematoma at the C5-6 level completely improved the patient's condition. When a patient complains of severe neck and/or arm pain after anterior cervical spinal surgery, though rare, the possibility of a postoperative SEH extending to non-decompressed, adjacent levels should be considered as with our case.

Keyword

Cervical spine; Complication; Hematoma
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