2/28/2023 0 Comments Halo combat evolved download sehs![]() ![]() No complications related to surgery were recorded. Complete hematoma removal was confirmed at postoperative MRI in all patients. The minimal observed blood loss was 200 mL, maximal 400 mL. ![]() At admission full neurologic evaluation and radiologic assessment with either high-resolution spinal computed tomography or magnetic resonance imaging (MRI according to the severity of neurologic presentation) were obtained before any treatment Results Twenty patients were found, 11 of whom (7 female, 4 male) harbored a SEH extending over 5 or more spinal segments. Records of all patients with SEHs surgically treated at our institution from January 2008 to December 2014 were retrospectively reviewed. 2 Here, we present our preliminary experience with a modified surgical technique for the treatment of large, multilevel SEHs, aimed to obtain complete clot removal while preserving spinal stability. ![]() Other etiologies include spine trauma, anticoagulation therapy, spinal surgery, spinal analgesia, and vascular malformations.1, 2, 3 Affected patients usually present with severe impending neurologic deficits related to the spinal level involved, degree of cord compression, and clot extension.4, 5, 6 Even though occasional cases of successful conservative treatment have been reported, surgical evacuation is still the preferred option, granting prompt symptoms relief and preventing further neurologic deterioration.6, 7ĭecompressive laminectomy and hemilaminectomy have been reported as equally effective for clot evacuation, with no significant risk for spinal instability in lesions spanning up to 5 levels, particularly when involving the thoracic spine.8, 9 In a few case series, minimally invasive approaches by interlaminar decompression have been reported, but doubts have been raised about the risks of incomplete clot removal, cerebrospinal fluid leak, or inadvertent damage to either the nerve roots or the spinal cord due to the “blind” removal of the clot beyond the opened level. 1 Almost one third of these lesions are spontaneous. Spinal epidural hematomas (SEHs) are rarely encountered in neurosurgical practice. ![]()
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