Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma – A Case Report

Stjepan Dokuzović
,
Sathish Muthu
ORCID logo ,
Jure Pavesic
,
Mario Spanic
,
Stjepan Ivandic
,
Gregor Eder
,
Bogdan Bosnjak
,
Ksenija Prodan
,
Zoran Loncar
,
Stipe Ćorluka
*
Version 1 : Received: 4 August 2023 / Approved: 7 August 2023 / Online: 8 August 2023 (09:24:03 CEST)

A peer-reviewed article of this Preprint also exists.

Dokuzović, S.; Muthu, S.; Pavešić, J.; Španić, M.; Ivandić, S.; Eder, G.; Bošnjak, B.; Prodan, K.; Lončar, Z.; Ćorluka, S. Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report. Medicina 2023, 59, 1590. Dokuzović, S.; Muthu, S.; Pavešić, J.; Španić, M.; Ivandić, S.; Eder, G.; Bošnjak, B.; Prodan, K.; Lončar, Z.; Ćorluka, S. Conservative Treatment for Spontaneous Resolution of Postoperative Symptomatic Thoracic Spinal Epidural Hematoma—A Case Report. Medicina 2023, 59, 1590.

Abstract

Introduction: Postoperative epidural hematomas of the cervical and thoracic spine can pose a great risk of rapid neurological impairment and sometimes require immediate decompressive surgery. Case Report: We present the case of a young patient operated on for stabilization of a two-level thoracic vertebra fracture who developed total paralysis due to an epidural hematoma postoperatively. The course of epidural hematoma was quickly reversed with the help of a con-servative technique that prevented revision surgery. The patient regained complete neurology on follow-up without any recurrent episodes. Conclusion: There is a role of similar maneuvers as described in this case to be employed in the management of postoperative epidural hematomas. However, prolonged watchful waiting should still be discouraged, and patients should remain ready for revision surgery if there are no early signs of rapid recovery.

Keywords

thoracic; spine; trauma; fracture; hematoma

Subject

Medicine and Pharmacology, Surgery

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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