EXTENSIVE SPINAL EPIDURAL HEMATOMA REMOVED BY A MULTILEVEL BILATERAL ALTERNATING HEMI-LAMINECTOMY

Moumouni Abdelkader

Article Details

EXTENSIVE SPINAL EPIDURAL HEMATOMA REMOVED BY A MULTILEVEL BILATERAL ALTERNATING HEMI-LAMINECTOMY

Authors:

Moumouni Abdelkader

Publisher:

Ministère de l'Enseignememt Superieur et de la Recherche Scientifique

Journal:

JOURNAL DE NEUROCHIRURGIE Vol.14 Issue 1, pp.65-71

Document Type:

Article

Publication Date:

6/2018

Document Language:

French

Document ID (Org No.):

2001916777

pISSN:

2676-170X

Keywords:

Abstract:

 Objective and Importance : Extensive spinal epidural hematoma (SEH) creates
another treatment challenge because the aim of surgery is to remove the hematoma without
devastating damage to the spine We report herein, to the best of our knowledge, the first case of
extensive SEH treated by a multilevel bilateral alternating hemi-laminectomy which may reduce
the potential risk of associated spinal deformity often linked to multilevel laminectomy Clinical
Presentation : A 49 year-old woman was admitted to our Department for flaccid paraplegia An
emergent MRI showed an elongated spindle shaped lesion at the dorsal epidural space extending
from T1 to T12, suggestive of SEH, with the most compressive bulk of the lesion extending from
T3 to T9 Technique : The hematoma was successfully removed via a bilateral alternating
hemilaminectomy, involving successively one lamina and the underneath opposite lamina, from
T 4 to T 8 Conclusion : Extensive posterior SEH could be managed by bilateral alternating hemilaminectomy,
in place of devastating laminectomy which impairs the stability of the posterior
vertebral column and predispose to spinal instability and deformity, notably in childhood.

Article Details

EXTENSIVE SPINAL EPIDURAL HEMATOMA REMOVED BY A MULTILEVEL BILATERAL ALTERNATING HEMI-LAMINECTOMY

Authors:

Moumouni Abdelkader

Publisher:

Ministère de l'Enseignememt Superieur et de la Recherche Scientifique

Journal:

JOURNAL DE NEUROCHIRURGIE Vol.14 Issue 1, pp.65-71

Document Type:

Article

Publication Date:

6/2018

Document Language:

French

Document ID (Org No.):

2001916777

pISSN:

2676-170X

Spinal epidural hematoma

Bilateral alternating hemi-laminectomy

Surgical technique

Issues

Article Details

EXTENSIVE SPINAL EPIDURAL HEMATOMA REMOVED BY A MULTILEVEL BILATERAL ALTERNATING HEMI-LAMINECTOMY

Authors: Moumouni Abdelkader

Publisher: Ministère de l'Enseignememt Superieur et de la Recherche Scientifique

Journal: JOURNAL DE NEUROCHIRURGIE Vol.14 Issue 1, pp.65-71

Document Type: Article

Publication Date: 6/2018

Document Language: French

Document ID (Org No.): 2001916777

pISSN: 2676-170X

Spinal epidural hematoma

Bilateral alternating hemi-laminectomy

Surgical technique

Issues

Authors:

Moumouni Abdelkader

Publisher:

Ministère de l'Enseignememt Superieur et de la Recherche Scientifique

Journal:

JOURNAL DE NEUROCHIRURGIE Vol.14 Issue 1, pp.65-71

Document Type:

Article

Publication Date:

6/2018

Document Language:

French

Document ID (Org No.):

2001916777

pISSN:

2676-170X