ArticleJournal of spine surgery (Hong Kong)2017
Spinal subdural hematoma: a rare case of spinal subdural hematoma complicating routine, minimally invasive lumbar discectomy and decompression and relevant literature review.
Article in Journal of spine surgery (Hong Kong), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 22 citations in OpenAlex.
- Remote Spinal Subdural Hematoma Following Lumbar Biportal Endoscopic Surgery : Two Case Reports.Journal of Korean Neurosurgical Society · 2026Article
- Symptomatic adjacent-segment epidural hematoma after UNSES for L4/5 lumbar disc herniation: a case report and narrative literature review.Frontiers in surgery · 2026Article
- Article
- Spinal subdural haemorrhage secondary to strenuous exercise and warfarin, complicated by acute ischaemic stroke.BMJ case reports · 2024Article
- Risk factors for spinal subdural hematoma after minimally invasive transforaminal lumbar Interbody Fusion (MI-TLIF): a multivariate analysis.BMC musculoskeletal disorders · 2023Article
- Spinal Subdural Hematoma in Ankylosing Spondylitis Patients Without Anticoagulation Therapy.Cureus · 2023Article
- Acute spinal subdural haematoma complicating a posterior spinal instrumented fusion for congenital scoliosis: A case report.World journal of clinical cases · 2023Article
- Postoperative spinal subdural hygroma without incidental durotomy: illustrative cases.Journal of neurosurgery. Case lessons · 2021Article
- Spinal subdural hematoma after interlaminar full-endoscopic decompression of lumbar spinal stenosis: a case report and literature review.Journal of spine surgery (Hong Kong) · 2021Article
- Medical Communication Services after Traumatic Spinal Cord Injury.Journal of healthcare engineering · 2021Review
- Symptomatic Postoperative Spinal Subdural Hematoma Following Posterior Lumbar Spinous Process-Splitting Decompression Surgery for Lumbar Spinal Canal Stenosis: A Case Report.Spine surgery and related research · 2021Article
- Risk factors for neurological complications in severe and rigid spinal deformity correction of 177 cases.BMC neurology · 2020Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We present a case of apparently uncomplicated lumbar decompression and discectomy with delayed postoperative neurological deterioration secondary to subdural hematoma at the thoracolumbar level of the spinal cord. Previously described subdural hematomas have occurred spontaneously or related to iatrogenic injury. Hitherto, no case of acute postoperative subdural hematoma has been reported in the postoperative setting in the absence of known iatrogenic dural injury. A 76-year-old male with central and lateral recess spinal stenosis underwent apparently uncomplicated bilateral L3-4 and left sided L4-5 decompressive partial laminectomies and discectomy. No incidental dural injury or cerebrospinal fluid leak was detected. On postoperative day two, he developed progressive, profound weakness, sensory changes and urinary retention. Magnetic resonance imaging (MRI) demonstrated a compressive subdural fluid collection extending between T11-L2, which was confirmed to be xanthochromic and under pressure superficial to an undisturbed arachnoid at emergent surgical exploration and evacuation. The mechanism of this complication is unknown. The patient went on to a complete recovery following surgical evacuation of the fluid via durotomy. While this is a very rare event, it reminds that a high index of suspicion is required with a low threshold for urgent imaging and intervention in the postoperative period upon development of unexpected, progressive and/or profound neurological findings regardless of intraoperative course.
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