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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...

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Autores principales: Dokuzović, Stjepan, Španić, Mario, Muthu, Sathish, Pavešić, Jure, Ivandić, Stjepan, Eder, Gregor, Bošnjak, Bogdan, Prodan, Ksenija, Lončar, Zoran, Ćorluka, Stipe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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