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Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report
Introduction: Postoperative epidural hematomas of the cervical and thoracic spine can pose a great risk of rapid neurological impairment and sometimes require immediate decompressive surgery. Case Report: We present the case of a young patient operated on for stabilization of a two-level thoracic ve...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10534765/ https://www.ncbi.nlm.nih.gov/pubmed/37763709 http://dx.doi.org/10.3390/medicina59091590 |
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author | Dokuzović, Stjepan Španić, Mario Muthu, Sathish Pavešić, Jure Ivandić, Stjepan Eder, Gregor Bošnjak, Bogdan Prodan, Ksenija Lončar, Zoran Ćorluka, Stipe |
author_facet | Dokuzović, Stjepan Španić, Mario Muthu, Sathish Pavešić, Jure Ivandić, Stjepan Eder, Gregor Bošnjak, Bogdan Prodan, Ksenija Lončar, Zoran Ćorluka, Stipe |
author_sort | Dokuzović, Stjepan |
collection | PubMed |
description | Introduction: Postoperative epidural hematomas of the cervical and thoracic spine can pose a great risk of rapid neurological impairment and sometimes require immediate decompressive surgery. Case Report: We present the case of a young patient operated on for stabilization of a two-level thoracic vertebra fracture who developed total paralysis due to an epidural hematoma postoperatively. The course of epidural hematoma was quickly reversed with the help of a conservative technique that prevented revision surgery. The patient regained complete neurologic function very rapidly, and has been well on every follow-up to date. Conclusion: There is a role of similar maneuvers as described in this case to be employed in the management of postoperative epidural hematomas. However, prolonged watchful waiting should still be discouraged, and patients should remain ready for revision surgery if there are no early signs of rapid recovery. |
format | Online Article Text |
id | pubmed-10534765 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-105347652023-09-29 Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report Dokuzović, Stjepan Španić, Mario Muthu, Sathish Pavešić, Jure Ivandić, Stjepan Eder, Gregor Bošnjak, Bogdan Prodan, Ksenija Lončar, Zoran Ćorluka, Stipe Medicina (Kaunas) Case Report Introduction: Postoperative epidural hematomas of the cervical and thoracic spine can pose a great risk of rapid neurological impairment and sometimes require immediate decompressive surgery. Case Report: We present the case of a young patient operated on for stabilization of a two-level thoracic vertebra fracture who developed total paralysis due to an epidural hematoma postoperatively. The course of epidural hematoma was quickly reversed with the help of a conservative technique that prevented revision surgery. The patient regained complete neurologic function very rapidly, and has been well on every follow-up to date. Conclusion: There is a role of similar maneuvers as described in this case to be employed in the management of postoperative epidural hematomas. However, prolonged watchful waiting should still be discouraged, and patients should remain ready for revision surgery if there are no early signs of rapid recovery. MDPI 2023-09-02 /pmc/articles/PMC10534765/ /pubmed/37763709 http://dx.doi.org/10.3390/medicina59091590 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Dokuzović, Stjepan Španić, Mario Muthu, Sathish Pavešić, Jure Ivandić, Stjepan Eder, Gregor Bošnjak, Bogdan Prodan, Ksenija Lončar, Zoran Ćorluka, Stipe Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report |
title | Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report |
title_full | Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report |
title_fullStr | Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report |
title_full_unstemmed | Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report |
title_short | Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report |
title_sort | conservative treatment for spontaneous resolution of postoperative symptomatic thoracic spinal epidural hematoma—a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10534765/ https://www.ncbi.nlm.nih.gov/pubmed/37763709 http://dx.doi.org/10.3390/medicina59091590 |
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