Guan-Sian Wu, Shih-Huang Tai, Yu-Ning Chen, E-Jian Lee
{"title":"A rare case of spontaneous spinal epidural hematoma after kyphoplasty","authors":"Guan-Sian Wu, Shih-Huang Tai, Yu-Ning Chen, E-Jian Lee","doi":"10.1016/j.inat.2025.102134","DOIUrl":null,"url":null,"abstract":"<div><div>Spinal surgery following by spinal epidural hematoma is a rare condition, the Factors related to symptomatic spinal epidural hematomas include coagulopathy, trauma, surgery, and vascular lesions. Most hematomas occur spontaneously without known etiology, but some spontaneous lesions are related to vascular anomalies [<span><span>1</span></span>].The study showed the higher incidence of hematoma associated with spinal deformity, the location of thoracic spine, posterior approach, and minimally invasive surgery [<span><span>2</span></span>].</div><div>We present a case of an obese patient with spinal deformity who underwent multiple spinal surgeries and subsequently developed symptomatic spinal epidural hematomas following kyphoplasty. Early diagnosis via computed tomography scan enabled prompt surgical intervention, minimizing neurological injury.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"42 ","pages":"Article 102134"},"PeriodicalIF":0.5000,"publicationDate":"2025-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S221475192500146X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Spinal surgery following by spinal epidural hematoma is a rare condition, the Factors related to symptomatic spinal epidural hematomas include coagulopathy, trauma, surgery, and vascular lesions. Most hematomas occur spontaneously without known etiology, but some spontaneous lesions are related to vascular anomalies [1].The study showed the higher incidence of hematoma associated with spinal deformity, the location of thoracic spine, posterior approach, and minimally invasive surgery [2].
We present a case of an obese patient with spinal deformity who underwent multiple spinal surgeries and subsequently developed symptomatic spinal epidural hematomas following kyphoplasty. Early diagnosis via computed tomography scan enabled prompt surgical intervention, minimizing neurological injury.