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Delayed Spinal Epidural Hematoma after En Block Spondylectomy for Vertebral Ewing's Sarcoma

We report here on a case of a 23-year-old male who received en block spondylectomy for a vertebral Ewing's sarcoma at our hospital. Nine days after surgery, he presented with severe back pain and motor weakness of the lower extremities. Based on the physical examination and the computed tomogra...

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Autores principales: Kim, Boram, Moon, Seong-Hwan, Kim, Sun-Yong, Kim, Ho-Joong, Lee, Hwan-Mo
Formato: Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996623/
https://www.ncbi.nlm.nih.gov/pubmed/21165315
http://dx.doi.org/10.4184/asj.2010.4.2.118
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author Kim, Boram
Moon, Seong-Hwan
Kim, Sun-Yong
Kim, Ho-Joong
Lee, Hwan-Mo
author_facet Kim, Boram
Moon, Seong-Hwan
Kim, Sun-Yong
Kim, Ho-Joong
Lee, Hwan-Mo
author_sort Kim, Boram
collection PubMed
description We report here on a case of a 23-year-old male who received en block spondylectomy for a vertebral Ewing's sarcoma at our hospital. Nine days after surgery, he presented with severe back pain and motor weakness of the lower extremities. Based on the physical examination and the computed tomography scan, he was diagnosed with acute cauda equina syndrome that was caused by compression from an epidural hematoma. His neurological functions recovered after emergency evacuation of the hematoma. This case showed that extensive surgery for a malignant vertebral tumor has a potential risk of delayed epidural hematoma and acute cauda equina syndrome and this should be treated with emergency evacuation.
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spelling pubmed-29966232010-12-16 Delayed Spinal Epidural Hematoma after En Block Spondylectomy for Vertebral Ewing's Sarcoma Kim, Boram Moon, Seong-Hwan Kim, Sun-Yong Kim, Ho-Joong Lee, Hwan-Mo Asian Spine J Case Report We report here on a case of a 23-year-old male who received en block spondylectomy for a vertebral Ewing's sarcoma at our hospital. Nine days after surgery, he presented with severe back pain and motor weakness of the lower extremities. Based on the physical examination and the computed tomography scan, he was diagnosed with acute cauda equina syndrome that was caused by compression from an epidural hematoma. His neurological functions recovered after emergency evacuation of the hematoma. This case showed that extensive surgery for a malignant vertebral tumor has a potential risk of delayed epidural hematoma and acute cauda equina syndrome and this should be treated with emergency evacuation. Korean Society of Spine Surgery 2010-12 2010-11-24 /pmc/articles/PMC2996623/ /pubmed/21165315 http://dx.doi.org/10.4184/asj.2010.4.2.118 Text en Copyright © 2010 by Korean Society of Spine Surgery http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Boram
Moon, Seong-Hwan
Kim, Sun-Yong
Kim, Ho-Joong
Lee, Hwan-Mo
Delayed Spinal Epidural Hematoma after En Block Spondylectomy for Vertebral Ewing's Sarcoma
title Delayed Spinal Epidural Hematoma after En Block Spondylectomy for Vertebral Ewing's Sarcoma
title_full Delayed Spinal Epidural Hematoma after En Block Spondylectomy for Vertebral Ewing's Sarcoma
title_fullStr Delayed Spinal Epidural Hematoma after En Block Spondylectomy for Vertebral Ewing's Sarcoma
title_full_unstemmed Delayed Spinal Epidural Hematoma after En Block Spondylectomy for Vertebral Ewing's Sarcoma
title_short Delayed Spinal Epidural Hematoma after En Block Spondylectomy for Vertebral Ewing's Sarcoma
title_sort delayed spinal epidural hematoma after en block spondylectomy for vertebral ewing's sarcoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996623/
https://www.ncbi.nlm.nih.gov/pubmed/21165315
http://dx.doi.org/10.4184/asj.2010.4.2.118
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