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

研究成果: 雜誌貢獻文章同行評審

2 引文 斯高帕斯(Scopus)

摘要

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.

原文英語
頁(從 - 到)302-304
頁數3
期刊Journal of Clinical Neuroscience
11
發行號3
DOIs
出版狀態已發佈 - 四月 2004
對外發佈

ASJC Scopus subject areas

  • 神經病學(臨床)
  • 精神病學和心理健康
  • 神經內科

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