Multilevel subdural and epidural hematoma after percutaneous kyphoplasty (PKP): a case report and literature review

BackgroundSerious complications such as intraspinal hematoma after percutaneous kyphoplasty (PKP) are rare, with an incidence of about 1%, which has been reported in relevant literature. However, there are few reports on the simultaneous occurrence of multiple segmental subdural/epidural hematomas (...

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Main Authors: Fuyuan Deng, Hailong Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1499630/full
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author Fuyuan Deng
Hailong Liu
author_facet Fuyuan Deng
Hailong Liu
author_sort Fuyuan Deng
collection DOAJ
description BackgroundSerious complications such as intraspinal hematoma after percutaneous kyphoplasty (PKP) are rare, with an incidence of about 1%, which has been reported in relevant literature. However, there are few reports on the simultaneous occurrence of multiple segmental subdural/epidural hematomas (SDH/SEH) after surgery.Case presentationThis case reports a 90-year-old female with lower limb neurological dysfunction after PKP. Emergency thoracolumbar magnetic resonance imaging (MRI) showed hematoma compressing the spinal cord. After conservative treatment, the sensory and motor function of the right lower limb returned to normal, and the bowel and urine function returned to normal, but the muscle strength of the left lower limb did not fully recover.ConclusionBlood pressure should be well controlled during the perioperative period for elderly patients with hypertension. This will avoid severe fluctuations in blood pressure caused by pain, anesthesia, and other reasons, reduce the probability of intraspinal vascular rupture, and prevent severe neurological dysfunction caused by acute intraspinal hemorrhage.
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spelling doaj-art-46adea63a6f644228b05ca5dbee126902025-01-20T07:20:12ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.14996301499630Multilevel subdural and epidural hematoma after percutaneous kyphoplasty (PKP): a case report and literature reviewFuyuan DengHailong LiuBackgroundSerious complications such as intraspinal hematoma after percutaneous kyphoplasty (PKP) are rare, with an incidence of about 1%, which has been reported in relevant literature. However, there are few reports on the simultaneous occurrence of multiple segmental subdural/epidural hematomas (SDH/SEH) after surgery.Case presentationThis case reports a 90-year-old female with lower limb neurological dysfunction after PKP. Emergency thoracolumbar magnetic resonance imaging (MRI) showed hematoma compressing the spinal cord. After conservative treatment, the sensory and motor function of the right lower limb returned to normal, and the bowel and urine function returned to normal, but the muscle strength of the left lower limb did not fully recover.ConclusionBlood pressure should be well controlled during the perioperative period for elderly patients with hypertension. This will avoid severe fluctuations in blood pressure caused by pain, anesthesia, and other reasons, reduce the probability of intraspinal vascular rupture, and prevent severe neurological dysfunction caused by acute intraspinal hemorrhage.https://www.frontiersin.org/articles/10.3389/fmed.2024.1499630/fullspinal epidural hematomaspinal subdural hematomapercutaneous kyphoplastyhypertensionspinal cord compression
spellingShingle Fuyuan Deng
Hailong Liu
Multilevel subdural and epidural hematoma after percutaneous kyphoplasty (PKP): a case report and literature review
Frontiers in Medicine
spinal epidural hematoma
spinal subdural hematoma
percutaneous kyphoplasty
hypertension
spinal cord compression
title Multilevel subdural and epidural hematoma after percutaneous kyphoplasty (PKP): a case report and literature review
title_full Multilevel subdural and epidural hematoma after percutaneous kyphoplasty (PKP): a case report and literature review
title_fullStr Multilevel subdural and epidural hematoma after percutaneous kyphoplasty (PKP): a case report and literature review
title_full_unstemmed Multilevel subdural and epidural hematoma after percutaneous kyphoplasty (PKP): a case report and literature review
title_short Multilevel subdural and epidural hematoma after percutaneous kyphoplasty (PKP): a case report and literature review
title_sort multilevel subdural and epidural hematoma after percutaneous kyphoplasty pkp a case report and literature review
topic spinal epidural hematoma
spinal subdural hematoma
percutaneous kyphoplasty
hypertension
spinal cord compression
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1499630/full
work_keys_str_mv AT fuyuandeng multilevelsubduralandepiduralhematomaafterpercutaneouskyphoplastypkpacasereportandliteraturereview
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