Ultra-delayed lumbar surgical wound hematoma

Ultra-delayed lumbar surgical wound hematoma

BACKGROUND There exists an inherent risk of increased venous thromboembolism (VTE) in surgical spine patients, which is independent of their existing risk factors. Prophylaxis and treatment of VTE is an imprecise practice and may have serious complications even well after the initial surgery. Furthermore, there are no clear guidelines on how to manage postoperative spine patients with regards t...

Clinical Analysis of Delayed Surgical Epidural Hematoma.

OBJECTIVE A small epidural hematoma (EDH) that has been diagnosed to be nonsurgical by initial brain computed tomography (CT) can increase in size and need surgical removal, resulting in a poor prognosis. However, there have been few studies, which focused delayed operated EDH. Therefore, we analyzed the clinical factors to determine the predicting factors of delayed operated EDH. METHODS Bet...

Development of delayed epidural hematoma.

A 24-year-old man was brought to the emergency room after a beating to the head with a baseball bat. At the time of admission he was noted to have a di lated right pupil and abnormal extensor responses bilaterally. The initial CT scan revea led a large, right, acute, subdural hematoma with appropriate right-to-Ieft sh ift of the midline structures (fig . 1 A) . He underwent a decompressive cran...

Teaching NeuroImages: Posttraumatic lumbar epidural hematoma.

Ligamentum flavum hematoma in the lumbar spine.

A patient who presented with symptoms suggestive of nerve root compression secondary to an extradural mass was found to have a hematoma in the ligamentum flavum. Pathological examination of surgical specimens revealed an old hemorrhage, and hemosiderin deposits around organized granulation tissue within the ligamentum flavum. Vessels within the ligamentum flavum had, presumably, ruptured during...