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学科主题临床医学
Delayed epidural pseudoaneurysm following cervical laminectomy and instrumentation in a patient with canal stenosis secondary to skeletal fluorosis A case report
Diao, Yinze1,2; Sun, Yu1,2; Wang, Shaobo1,2; Zhang, Fengshan1,2; Pan, Shengfa1,2; Liu, Zhongjun1,2
通讯作者Sun, Yu()
关键词cervical spine surgery late-onset bleeding pseudoaneurysm skeletal fluorosis vertebral artery injury
刊名MEDICINE
2018-02-01
DOI10.1097/MD.0000000000009883
97期:8
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]VERTEBRAL ARTERY INJURY
英文摘要

Rationale: The typical intraoperative presentation of vertebral artery injury (VAI) usually involves profuse bleeding and requires immediate treatment. However, an occult VAI may occur intraoperatively and result in delayed life-threatening epidural pseudoaneurysm several days postoperatively.

Patient concerns: A 21-year-old man with compressive cervical myelopathy resulting from canal stenosis of skeletal fluorosis underwent decompression of C1 to C7 and instrumentation from C2 to C7. No impressive bleeding event occurred during the operation. On postoperative day 40, progressive quadriplegia developed.

Diagnoses: Pseudoaneurysm of the VA was established by angiography.

Interventions: After occlusion of the right VA, the patient underwent hematoma clearing.

Outcomes: Fortunately, the patient experienced significant recovery of neurologic function after the second surgery.

Lessons: From this case, we realize even in the absence of obvious signs of VAI during a cervical operation, postoperative evaluation should be mandatory for suspected bleeding events occurring at VAI-prone sites during surgery. Moreover, the bone morphological abnormality of skeletal fluorosis was determined to be the most important risk contributing to VAI in this case. The safety limits of bone removal should be determined preoperatively to avoid the effects of bone morphological abnormalities.

语种英语
WOS记录号WOS:000427997700041
通讯作者邮箱puthresearch@sina.com
第一作者单位Peking Univ, Hosp 3, Dept Orthopaed, Beijing, Peoples R China ; Beijing Key Lab Spinal Dis, Beijing, Peoples R China
ISSN0025-7974
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/141933
专题北京大学第三临床医学院_骨科
作者单位1.Peking Univ, Hosp 3, Dept Orthopaed, Beijing, Peoples R China;
2.Beijing Key Lab Spinal Dis, Beijing, Peoples R China
推荐引用方式
GB/T 7714
Diao, Yinze,Sun, Yu,Wang, Shaobo,et al. Delayed epidural pseudoaneurysm following cervical laminectomy and instrumentation in a patient with canal stenosis secondary to skeletal fluorosis A case report[J]. MEDICINE,2018,97(8).
APA Diao, Yinze,Sun, Yu,Wang, Shaobo,Zhang, Fengshan,Pan, Shengfa,&Liu, Zhongjun.(2018).Delayed epidural pseudoaneurysm following cervical laminectomy and instrumentation in a patient with canal stenosis secondary to skeletal fluorosis A case report.MEDICINE,97(8).
MLA Diao, Yinze,et al."Delayed epidural pseudoaneurysm following cervical laminectomy and instrumentation in a patient with canal stenosis secondary to skeletal fluorosis A case report".MEDICINE 97.8(2018).
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