[A case report of spinal epidural hematoma complicated after open heart surgery].
The authors reported the first case of acute spinal epidural hematoma (SEH) developed after open heart surgery. The patient was noticed that her legs felt weak and numb on the first postoperative day evening. On the next day morning, neurological examination revealed that flaccid paralysis of both legs and also loss of all sensory perception below the level of Th-6 spine bilaterally. The prolonged effect of anesthesia and painless onset made delayed recognition of the lesion. SEH (Th5-7) was diagnosed with MRI and decompressive surgery was immediately done, sixty hours after the beginning of cardiac operation. But in this case neurological deficits were not changed. We concluded that a routine diagnostic approach was very important procedure to find out this serious complication for all patients underwent open heart surgery in early period of its onset.
Nakaya
M
M
Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan.
Kawazoe
K
K
Ohara
K
K
Kosakai
Y
Y
Kito
Y
Y
Kawashima
Y
Y
D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery; D006407:Hematoma, Epidural, Cranial / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D012214:Rheumatic Heart Disease / Q000601:surgery