Epidural hematoma of the cervical spine after cervical laminectomy in a patient with ventriculo-peritoneal shunt

Sai Cheung Lee, Shih Tseng Lee, Tai Ngar Lui

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Cervical laminectomy is one of the most common procedures performed in the sitting position. However in the presence of intracranial hypotension, a negative intradural pressure develops when the patients are in the sitting position. They are therefore at risk of developing cervical spinal epidural hematomas after cervical laminectomy. We report a case of a shunted patient who developed an epidural hematoma 3 days after a cervical laminectomy procedure in a seated position when he began to ambulate. When performing a cervical laminectomy procedure on a shunted patient, an upright position should be avoided during the operation. Intra-operative hypercapnia as well as intra- and post-operative intravenous hydration should be maintained in order to increase intradural pressure, preventing the formation of cervical spinal epidural hematoma after cervical laminectomy.

Original languageEnglish
Pages (from-to)302-304
Number of pages3
JournalJournal of Clinical Neuroscience
Volume11
Issue number3
DOIs
Publication statusPublished - Apr 2004
Externally publishedYes

Fingerprint

Ventriculoperitoneal Shunt
Laminectomy
Hematoma
Spine
Spinal Epidural Hematoma
Posture
Intracranial Hypotension
Pressure
Hypercapnia

Keywords

  • Cervical laminectomy
  • Complications
  • Epidural hematoma
  • Intracranial hypotension

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health
  • Neurology

Cite this

Epidural hematoma of the cervical spine after cervical laminectomy in a patient with ventriculo-peritoneal shunt. / Lee, Sai Cheung; Lee, Shih Tseng; Lui, Tai Ngar.

In: Journal of Clinical Neuroscience, Vol. 11, No. 3, 04.2004, p. 302-304.

Research output: Contribution to journalArticle

Lee, Sai Cheung ; Lee, Shih Tseng ; Lui, Tai Ngar. / Epidural hematoma of the cervical spine after cervical laminectomy in a patient with ventriculo-peritoneal shunt. In: Journal of Clinical Neuroscience. 2004 ; Vol. 11, No. 3. pp. 302-304.
@article{a0e0dc9609b04ee38555d5fe28fa4599,
title = "Epidural hematoma of the cervical spine after cervical laminectomy in a patient with ventriculo-peritoneal shunt",
abstract = "Cervical laminectomy is one of the most common procedures performed in the sitting position. However in the presence of intracranial hypotension, a negative intradural pressure develops when the patients are in the sitting position. They are therefore at risk of developing cervical spinal epidural hematomas after cervical laminectomy. We report a case of a shunted patient who developed an epidural hematoma 3 days after a cervical laminectomy procedure in a seated position when he began to ambulate. When performing a cervical laminectomy procedure on a shunted patient, an upright position should be avoided during the operation. Intra-operative hypercapnia as well as intra- and post-operative intravenous hydration should be maintained in order to increase intradural pressure, preventing the formation of cervical spinal epidural hematoma after cervical laminectomy.",
keywords = "Cervical laminectomy, Complications, Epidural hematoma, Intracranial hypotension",
author = "Lee, {Sai Cheung} and Lee, {Shih Tseng} and Lui, {Tai Ngar}",
year = "2004",
month = "4",
doi = "10.1016/S0967-5868(03)00132-2",
language = "English",
volume = "11",
pages = "302--304",
journal = "Journal of Clinical Neuroscience",
issn = "0967-5868",
publisher = "Churchill Livingstone",
number = "3",

}

TY - JOUR

T1 - Epidural hematoma of the cervical spine after cervical laminectomy in a patient with ventriculo-peritoneal shunt

AU - Lee, Sai Cheung

AU - Lee, Shih Tseng

AU - Lui, Tai Ngar

PY - 2004/4

Y1 - 2004/4

N2 - Cervical laminectomy is one of the most common procedures performed in the sitting position. However in the presence of intracranial hypotension, a negative intradural pressure develops when the patients are in the sitting position. They are therefore at risk of developing cervical spinal epidural hematomas after cervical laminectomy. We report a case of a shunted patient who developed an epidural hematoma 3 days after a cervical laminectomy procedure in a seated position when he began to ambulate. When performing a cervical laminectomy procedure on a shunted patient, an upright position should be avoided during the operation. Intra-operative hypercapnia as well as intra- and post-operative intravenous hydration should be maintained in order to increase intradural pressure, preventing the formation of cervical spinal epidural hematoma after cervical laminectomy.

AB - Cervical laminectomy is one of the most common procedures performed in the sitting position. However in the presence of intracranial hypotension, a negative intradural pressure develops when the patients are in the sitting position. They are therefore at risk of developing cervical spinal epidural hematomas after cervical laminectomy. We report a case of a shunted patient who developed an epidural hematoma 3 days after a cervical laminectomy procedure in a seated position when he began to ambulate. When performing a cervical laminectomy procedure on a shunted patient, an upright position should be avoided during the operation. Intra-operative hypercapnia as well as intra- and post-operative intravenous hydration should be maintained in order to increase intradural pressure, preventing the formation of cervical spinal epidural hematoma after cervical laminectomy.

KW - Cervical laminectomy

KW - Complications

KW - Epidural hematoma

KW - Intracranial hypotension

UR - http://www.scopus.com/inward/record.url?scp=1542344398&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1542344398&partnerID=8YFLogxK

U2 - 10.1016/S0967-5868(03)00132-2

DO - 10.1016/S0967-5868(03)00132-2

M3 - Article

VL - 11

SP - 302

EP - 304

JO - Journal of Clinical Neuroscience

JF - Journal of Clinical Neuroscience

SN - 0967-5868

IS - 3

ER -