caa a22 4500 606240713 CHVBK 20210128101309.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00508-014-0632-3 doi (NATIONALLICENCE)springer-10.1007/s00508-014-0632-3 Spinal subdural hematoma following lumbar decompressive surgery: a report of two cases [Elektronische Daten] [Marios G. Lykissas, Alexander Aichmair, Richard J. Herzog, Joshua E. Schroeder, Russel C. Huang, James Farmer] Spinales Subduralhämatom nach lumbaler Dekompressionsoperation: Bericht über 2 Fälle Summary: Spinal subdural hematoma (SSDH) following spine surgery is an extremely rare condition, with only three cases being reported in the literature. Unintended durotomy has been associated with SSDH due to alterations of pressures in the dural compartments. The objective of the present report was to report two rare cases of acute SSDH developed after lumbar decompressive surgery. In one of the patients, the diagnosis of SSDH was followed by urgent hematoma evacuation via durotomy due to the patient's worsening neurological symptoms. In the second patient, the SSDH was treated conservatively due to the absence of severe or progressive motor or sensory deficits. In conclusion, emergency evacuation via durotomy is the treatment of choice for patients with SSDH and neurologic impairment. Conservative management may be indicated in selected cases with absent motor and sensory deficits. Springer-Verlag Wien, 2014 Spinal subdural hematoma nationallicence Durotomy nationallicence Hematoma evacuation nationallicence Epidural hematoma nationallicence Spinales Subduralhämatom nationallicence Durotomie nationallicence Hämatomausräumung nationallicence Epidurales Hämatom nationallicence Lykissas Marios G. Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, 10021, New York, NY, USA aut Aichmair Alexander Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, 10021, New York, NY, USA aut Herzog Richard J. Department of Radiology and Imaging, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA aut Schroeder Joshua E. Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, 10021, New York, NY, USA aut Huang Russel C. Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, 10021, New York, NY, USA aut Farmer James Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, 10021, New York, NY, USA aut Wiener klinische Wochenschrift Springer Vienna 127/1-2(2015-01-01), 71-74 0043-5325 127:1-2<71 2015 127 508 https://doi.org/10.1007/s00508-014-0632-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00508-014-0632-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lykissas Marios G. Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Aichmair Alexander Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Herzog Richard J. Department of Radiology and Imaging, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, USA aut NATIONALLICENCE 700 1- Schroeder Joshua E. Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Huang Russel C. Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Farmer James Department of Orthopedic Surgery, Spine and Scoliosis Service, Hospital for Special Surgery, Weill Cornell Medical College, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 773 0- Wiener klinische Wochenschrift Springer Vienna 127/1-2(2015-01-01), 71-74 0043-5325 127:1-2<71 2015 127 508