{"id":"7fb8c8f6-1386-46a5-b05d-3567d3dda7f2","slug":"widespread-spontaneous-spinal-epidural-hematoma-treated-with-a-combined-technique-using-a-flexible-neuroendoscope-after-hemilaminectomy-a-case-report","title":"Widespread spontaneous spinal epidural hematoma treated with a combined technique using a flexible neuroendoscope after hemilaminectomy: A case report","authors":["Jungsu Choo","Kenko Maeda","Masaya Takemoto","Yusuke Sakamoto","Yoshitaka Nagashima"],"abstract":"Background: One-third of spinal epidural hematomas occur spontaneously, and these may be associated with the acute onset of severe paralysis. Here, we present a case of T4-L4 symptomatic spontaneous spinal epidural hematoma which was successfully removed using a flexible neuroendoscope after hemilaminectomy. Case Description: Using flexible neuroendoscopy, we successfully treated a T4-L4 spinal epidural hematoma in an 89-year-old Japanese female who spontaneously developed back pain and paraparesis. The hematoma was removed utilizing a hemilaminectomy at three vertebral levels (T11, T12, and L1), while the remaining hematoma debris was completely evacuated with flexible neuroendoscopy. Neurological improvement was observed immediately postsurgery. Conclusion: Flexible neuroendoscopy provided a less extensive surgical method for removing a T4-L4 spontaneous epidural hematoma.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/7fb8c8f6-1386-46a5-b05d-3567d3dda7f2/featured/hero-1781559971929.png","publishDate":"2023-10-13T00:00:00.000Z","doi":"10.25259/SNI_749_2023","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2023/10/12596/SNI-14-361.pdf"}