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Vertebroplasty and delayed subdural cauda equina hematoma: Review of literature and case report

World Journal of Clinical Cases 2017年第8期5卷 333-339页

作者： Maria Pia Tropeano biagia la pira Lorenzo Pescatori Manolo Piccirilli Department of Neurology and Psichiatry-Neurosurgery Policlinico Umberto I-Sapienza University of Rome

Vertebroplasy is considered an alternative and effective treatment of painful oncologic spine disease. Major complications are very rare, but with high morbidity and occur in less than 1% of patients who undergo vertebroplasty. Spinal subdural hematoma(SDH) is an extremely rare complication, usual developing within 12 h to 24 h after the procedure. We report the case of a tardive SDH in an oncologic patient who underwent VP for Myxoid Liposarcoma metastasis. Trying to explain the pathogenesis, we support the hypothesis that both venous congestion of the vertebral venous plexus of the vertebral body and venous congestion due to a traumatic injury can provoke SDH. To our best knowledge, only 4 cases of spinal subdural hematoma following a transpedicular vertebroplasty have been previously described in International literature and only one of them occurred two weeks after that surgical procedures. Percutaneous verteboplasty is a wellknown treatment of pain oncologic spine disease, used to provide pain relief and improvement of quality life and is considered a simple surgical procedure, involving a low risk of complications, but related to high morbidity, such as SDH. Therefore it has to be performed by experienced and skilled surgeons, that should also recognize possible risk factors, making SDH more risky.

关键词： Subdural hematoma Liposarcoma Surgery Radiotherapy Vertebroplasty

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