An unusual acute onset hard and small volume epidural blood clotting after anterior cervical discectomy with tetraparetic neurological findings

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dc.contributor.authorSasani, Hadi
dc.contributor.authorSasani, Mehdi
dc.contributor.authorOzer, Fahir
dc.date.accessioned2024-10-29T17:43:41Z
dc.date.available2024-10-29T17:43:41Z
dc.date.issued2021
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractAnterior cervical discectomy and fusion (ACDF) is one of the most commonly used surgical method to treat a variety of disorders in the cervical spine. Although, the incidence of complication related to ACDF is low, hematomas can be confronted after surgery. We report a 52-year-old male patient presented with complaints of paraesthesia and sensory loss in the upper extremities. Magnetic resonance imaging (MRI) showed a large central-right paracentral protrusion resulting in narrowing of the spinal channel at the level of C5-C6 accompanied by spinal cord compression and bilateral foraminal stenosis. ACDF was performed at this level. Five hours after surgery, sudden onset paraesthesia and tetraparesis developed. Urgent cervical MRI depicted acute filling half of the discectomy cavity, compressing the dural sac and spinal cord. The patient underwent revision surgery and the symptoms improved postoperatively. The patient received conservative therapy and was discharged without any nerological problem. Despite being a rare condition, sudden onset of neurological symptoms such as tetraparesis after ACDF surgery should remind the presence of hematoma at the surgical site. © 2021 Marmara University Press, All Rights Reserved.
dc.identifier.doi10.5472/marumj.1013491
dc.identifier.endpage343
dc.identifier.issn1019-1941
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85167879293
dc.identifier.scopusqualityQ4
dc.identifier.startpage339
dc.identifier.urihttps://doi.org/10.5472/marumj.1013491
dc.identifier.urihttps://hdl.handle.net/20.500.11776/12567
dc.identifier.volume34
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherMarmara University
dc.relation.ispartofMarmara Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDiscectomy
dc.subjectHematoma
dc.subjectMagnetic Resonance Imaging
dc.titleAn unusual acute onset hard and small volume epidural blood clotting after anterior cervical discectomy with tetraparetic neurological findings
dc.typeArticle

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