Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report
<i>Introduction</i>: Postoperative epidural hematomas of the cervical and thoracic spine can pose a great risk of rapid neurological impairment and sometimes require immediate decompressive surgery. <i>Case Report</i>: We present the case of a young patient operated on for st...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/9/1590 |
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| author | Stjepan Dokuzović Mario Španić Sathish Muthu Jure Pavešić Stjepan Ivandić Gregor Eder Bogdan Bošnjak Ksenija Prodan Zoran Lončar Stipe Ćorluka |
| author_facet | Stjepan Dokuzović Mario Španić Sathish Muthu Jure Pavešić Stjepan Ivandić Gregor Eder Bogdan Bošnjak Ksenija Prodan Zoran Lončar Stipe Ćorluka |
| author_sort | Stjepan Dokuzović |
| collection | DOAJ |
| description | <i>Introduction</i>: Postoperative epidural hematomas of the cervical and thoracic spine can pose a great risk of rapid neurological impairment and sometimes require immediate decompressive surgery. <i>Case Report</i>: 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. <i>Conclusion</i>: 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. |
| first_indexed | 2024-03-10T22:29:22Z |
| format | Article |
| id | doaj.art-cad50823cc10427eb0e0877be66dc1d1 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T22:29:22Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-cad50823cc10427eb0e0877be66dc1d12023-11-19T11:52:06ZengMDPI AGMedicina1010-660X1648-91442023-09-01599159010.3390/medicina59091590Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case ReportStjepan Dokuzović0Mario Španić1Sathish Muthu2Jure Pavešić3Stjepan Ivandić4Gregor Eder5Bogdan Bošnjak6Ksenija Prodan7Zoran Lončar8Stipe Ćorluka9Spinal Surgery Division, Department of Traumatology, University Hospital Center Sestre Milosrdnice, 10000 Zagreb, CroatiaAkromion Special Hospital for Orthopaedic Surgery, 49217 Krapinske Toplice, CroatiaOrthopaedic Research Group, Coimbatore 641045, Tamil Nadu, IndiaSpinal Surgery Division, Department of Traumatology, University Hospital Center Sestre Milosrdnice, 10000 Zagreb, CroatiaTraumatology Department, University Hospital Centre Sestre Milosrdnice, 10000 Zagreb, CroatiaTraumatology Department, University Hospital Centre Sestre Milosrdnice, 10000 Zagreb, CroatiaGeneral Hospital, Croatian Veterans, 49210 Zabok, CroatiaClinical Department of Diagnostic and Interventional Radiology, Department of Traumatology, University Hospital Center Sestre Milosrdnice, 10000 Zagreb, CroatiaAnesthesiology, Intensive Care and Pain Management Division, Traumatology Department, University Hospital Centre Sestre Milosrdnice, 10000 Zagreb, CroatiaSpinal Surgery Division, Department of Traumatology, University Hospital Center Sestre Milosrdnice, 10000 Zagreb, Croatia<i>Introduction</i>: Postoperative epidural hematomas of the cervical and thoracic spine can pose a great risk of rapid neurological impairment and sometimes require immediate decompressive surgery. <i>Case Report</i>: 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. <i>Conclusion</i>: 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.https://www.mdpi.com/1648-9144/59/9/1590thoracicspinetraumafracturehematoma |
| spellingShingle | Stjepan Dokuzović Mario Španić Sathish Muthu Jure Pavešić Stjepan Ivandić Gregor Eder Bogdan Bošnjak Ksenija Prodan Zoran Lončar Stipe Ćorluka Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report Medicina thoracic spine trauma fracture hematoma |
| 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 | thoracic spine trauma fracture hematoma |
| url | https://www.mdpi.com/1648-9144/59/9/1590 |
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