Spinal Cord Infarction After Decompressive Laminectomy for Spontaneous Spinal Epidural Hematoma : Case Report
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概要
- 論文の詳細を見る
A 68-year-old woman presented to the emergency department for evaluation of bilateral leg weakness. On admission, she had paraparesis with incomplete sensory deficit. Magnetic resonance (MR) imaging of the thoracolumbar spine revealed spontaneous spinal epidural hematoma (SSEH) compressing the spinal cord. The patient was taken to the operating room for urgent surgical decompression and evacuation of the SSEH. After the surgery, she woke up with complete paraplegia. Postoperative MR imaging showed the spinal cord was edematous, with minimal remnant hematoma. MR imaging after 1 month clearly showed anterior spinal artery thrombosis. No significant neurological improvement occurred during the 3-month follow up. Surgeons should consider the possibility of this devastating complication before aggressive and early surgical intervention in a patient with SSEH causing cord compression and neurological deficit.
- 社団法人 日本脳神経外科学会の論文
- 2007-07-15
著者
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Lee Jang
Department Of Neurosurgery Korea University An-am Hospital Korea University School Of Medicine
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Lim Dong
Department Of Chemistry University At Albany
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Chung Yong
Department Of Horticulture Don-a University
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Lim Dong
Department Of Neurosurgery Korea University Ansan Hospital Korea University School Of Medicine
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Kim Sang
Department Of Neurosurgery Korea University Ansan Hospital Korea University School Of Medicine
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Park Jung
Department Of Chemistry Gyeongsang National University
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Kim Sang
Department Of Chem. Eng. The University Of Seoul
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Lee Jang
Department Of Internal Medicine Kyungpook National University Hospital
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PARK Juno
Department of Neurosurgery, Korea University Ansan Hospital, Korea University School of Medicine
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Chung Yong
Department Of Neurosurgery Korea University An-am Hospital Korea University School Of Medicine
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Park Juno
Department Of Neurosurgery Korea University Ansan Hospital Korea University School Of Medicine
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Chung Yong
Department Of Applied Mathematics Graduate School Of Engineering Hiroshima University
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Park Jung
Department Electrical Engineering Busan National University
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KIM Sang
Department of Anesthesiology and Pain Medicine, Chosun University Medical School
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LEE Jang
Department of Control and Instrumentation Engineering, and Automatic Control Research Center Seoul National University
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