Žingor Daniel, Rudinský Bruno
Acute postoperative cervical spinal epidural hematoma after anterior cervical discectomy and fusion is very rare condition
which if diagnosed late or inadequately results in serious and possibly even permanent disability to subject. Our
Department of Neurosurgery in Nove Zamky was confronted with female subject after anterior cervical discectomy
and related fusion in 2014 who was present with sudden increase of blood pressure to values around 220/140 mm Hg
and ongoing progression of neurological deficit leading to quadruparesis amplification on lower extremities. Consequently
an urgent MRI was performed confirming acute spinal epidural hematoma within C5 and T3. The later combination
of revision surgery and ongoing dorsal laminoplastic was performed leading to reduction of neurological deficit.
Despite its low incidence, the diagnosis of spinal epidural hematoma needs to be kept in mind during differential
diagnostic process for rapidly developing neurological deficit after surgery.