Delayed epidural hematoma after spinal surgery: A report of 4 cases

Mark J. Sokolowski*, Mark Dolan, Arash Aminian, Michael H. Haak, Michael F Schafer

*Corresponding author for this work

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

Symptomatic postoperative epidural hematoma is a rare and potentially devastating complication of spinal surgery. The overwhelming majority of reported cases have occurred in the immediate postoperative period. A recent publication defined the clinical entity of delayed postoperative epidural spinal hematoma as neurologic deterioration due to an epidural hematoma occurring at least 3 days after the index procedure. Only 2 such cases have been reported in the lumbar spine to date. Four cases of delayed postoperative spinal epidural hematoma were identified over a 6-year period among the spine surgeons at a single large academic institution. Each case involved the lumbar spine. The details of each patient's initial surgery, presentation, and hospital course were then gathered from a retrospective chart review. The 4 patients presented are unusual in their delayed symptomatic presentations of postoperative spinal epidural hematoma. Despite the longer time to onset, however, our patients exhibited many of the characteristics common to cases that presented in the acute postoperative period. The spine surgeon must remain vigilant for the possibility of postoperative spinal epidural hematoma in at-risk patients, even weeks after the original surgical procedure.

Original languageEnglish (US)
Pages (from-to)603-606
Number of pages4
JournalJournal of Spinal Disorders and Techniques
Volume19
Issue number8
DOIs
StatePublished - Dec 1 2006

Keywords

  • Delayed postoperative spinal epidural hematoma
  • Laminectomy
  • Lumbar spine

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

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