Delayed Postoperative Spinal Epidural Hematoma after Cervical Laminoplasty
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- Tomii Masato
- Department of Neurosurgery, Southern TOHOKU General Hospital, Iwanuma, Miyagi, Japan
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- Mizuno Junichi
- Department of Neurosurgery, Southern TOHOKU General Hospital, Iwanuma, Miyagi, Japan
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- Kazama Ken
- Department of Neurosurgery, Southern TOHOKU General Hospital, Iwanuma, Miyagi, Japan
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- Matsushima Tadao
- Department of Neurosurgery, Southern TOHOKU General Hospital, Iwanuma, Miyagi, Japan
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- Watanabe Kazuo
- Department of Neurosurgery, Southern TOHOKU General Hospital, Iwanuma, Miyagi, Japan Department of Neurosurgery, Southern TOHOKU Research Institute for Neuroscience, Southern TOHOKU General Hospital, Koriyama, Fukushima, Japan
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<p>A 56-year-old man underwent cervical laminoplasty for cervical spondylosis. On the 7th postoperative day, he suddenly felt severe neck pain, and tetraplegia developed rapidly over 1.5 hrs. Computed tomography demonstrated a huge hematoma compressing the cervical spinal cord. Clot was evacuated 3 hrs after the onset of symptoms. The patient’s postoperative course was uneventful. His blood pressure could not be properly controlled in the perioperative period. Surgeons should keep in mind that delayed postoperative spinal epidural hematoma (DPSEH) can occur more than a week after surgery, and meticulous blood pressure control is important for more than a week after a spinal operation.</p>
収録刊行物
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- NMC Case Report Journal
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NMC Case Report Journal 5 (1), 35-38, 2018
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680719765760
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- NII論文ID
- 130006301815
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- ISSN
- 21884226
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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