%0 Case Reports
%T Delayed postoperative spontaneous spinal epidural hematoma: Case based review.
%A Lin T
%A Li M
%A Bian K
%A Qiu C
%A Cheng L
%J Int J Surg Case Rep
%V 120
%N 0
%D 2024 Jul 6
%M 38852561
暂无%R 10.1016/j.ijscr.2024.109871
%X <B>UNASSIGNED: </B>Postoperative spontaneous spinal epidural hematoma (SSEDH) is a rare complication in clinical practice. Despite its rarity, SSEDH is a critical emergency situation associated with neurological deficits, and improper or delayed management may lead to severe consequences. Therefore, surgical operators should familiarize themselves with SSEDH and give it more attention.<BR><B>METHODS: </B>This study describes the case of an elderly woman diagnosed with a left unilateral femoral neck fracture, severe osteoporosis, and multi-segmental vertebral compression fracture. Following artificial femoral head replacement surgery, the patient developed postoperative SSEDH. Subsequently, the patient underwent surgical removal of the posterior epidural hematoma and spinal cord decompression. The postoperative recovery was favorable, with normal muscle strength and tension in both lower limbs. A 4-year follow-up showed no complications.<BR><B>UNASSIGNED: </B>The occurrence of SSEDH during the perioperative period of non-spinal surgeries is relatively uncommon. However, SSEDH is a neurosurgical emergency associated with neurological deficits, and prompt surgical intervention is crucial for successful treatment.<BR><B>CONCLUSIONS: </B>Clinicians should enhance their knowledge of SSEDH and remain vigilant towards this condition. Literature review highlights the significance of factors such as aging in the development of SSEDH following non-spinal surgeries in the perioperative period.