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Delayed Post-operative Spinal Epidural Haematoma after Posterior Spinal Surgery: Report of Two Cases

Delayed post-operative spinal epidural haematoma (DPSEH) is diagnosed when the onset of symptoms is more than three days from the index surgery. DPSEH is a rare but serious complication of spinal surgery. Missed diagnosis will result in irreversible neurological deficit which may lead to permanent d...

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Detalles Bibliográficos
Autores principales: Chung, WH, Tan, RL, Chiu, CK, Kwan, MK, Chan, CYW
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Malaysian Orthopaedic Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7752003/
https://www.ncbi.nlm.nih.gov/pubmed/33403080
http://dx.doi.org/10.5704/MOJ.2011.027
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author Chung, WH
Tan, RL
Chiu, CK
Kwan, MK
Chan, CYW
author_facet Chung, WH
Tan, RL
Chiu, CK
Kwan, MK
Chan, CYW
author_sort Chung, WH
collection PubMed
description Delayed post-operative spinal epidural haematoma (DPSEH) is diagnosed when the onset of symptoms is more than three days from the index surgery. DPSEH is a rare but serious complication of spinal surgery. Missed diagnosis will result in irreversible neurological deficit which may lead to permanent disabilities. We report two cases of DPSEH who presented with worsening neurological deficit four days after the index surgery. Magnetic resonance imaging (MRI) showed the presence of an epidural haematoma compressing the spinal cord. Surgical evacuation of haematoma were performed for both patients. Both patients experienced neurological improvement. Surgeons should have high index of suspicion to identify delayed onset of spinal epidural haematoma (SEH) and timely intervention should be taken to avoid irreversible neurological damage.
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spelling pubmed-77520032021-01-04 Delayed Post-operative Spinal Epidural Haematoma after Posterior Spinal Surgery: Report of Two Cases Chung, WH Tan, RL Chiu, CK Kwan, MK Chan, CYW Malays Orthop J Case Report Delayed post-operative spinal epidural haematoma (DPSEH) is diagnosed when the onset of symptoms is more than three days from the index surgery. DPSEH is a rare but serious complication of spinal surgery. Missed diagnosis will result in irreversible neurological deficit which may lead to permanent disabilities. We report two cases of DPSEH who presented with worsening neurological deficit four days after the index surgery. Magnetic resonance imaging (MRI) showed the presence of an epidural haematoma compressing the spinal cord. Surgical evacuation of haematoma were performed for both patients. Both patients experienced neurological improvement. Surgeons should have high index of suspicion to identify delayed onset of spinal epidural haematoma (SEH) and timely intervention should be taken to avoid irreversible neurological damage. Malaysian Orthopaedic Association 2020-11 /pmc/articles/PMC7752003/ /pubmed/33403080 http://dx.doi.org/10.5704/MOJ.2011.027 Text en © 2020 Malaysian Orthopaedic Association (MOA). All Rights Reserved http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
spellingShingle Case Report
Chung, WH
Tan, RL
Chiu, CK
Kwan, MK
Chan, CYW
Delayed Post-operative Spinal Epidural Haematoma after Posterior Spinal Surgery: Report of Two Cases
title Delayed Post-operative Spinal Epidural Haematoma after Posterior Spinal Surgery: Report of Two Cases
title_full Delayed Post-operative Spinal Epidural Haematoma after Posterior Spinal Surgery: Report of Two Cases
title_fullStr Delayed Post-operative Spinal Epidural Haematoma after Posterior Spinal Surgery: Report of Two Cases
title_full_unstemmed Delayed Post-operative Spinal Epidural Haematoma after Posterior Spinal Surgery: Report of Two Cases
title_short Delayed Post-operative Spinal Epidural Haematoma after Posterior Spinal Surgery: Report of Two Cases
title_sort delayed post-operative spinal epidural haematoma after posterior spinal surgery: report of two cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7752003/
https://www.ncbi.nlm.nih.gov/pubmed/33403080
http://dx.doi.org/10.5704/MOJ.2011.027
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