Thoracic spinal cord epidural hematoma after extracorporeal shock wave lithotripsy

Case report

Sang-Bok Lee M.D., Tae-Gyu Lee M.D., Ph.D., Do-Sung Yoo M.D., Ph.D., Pil-Woo Huh M.D., Ph.D., and Kyoung-Suok Cho M.D., Ph.D.
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  • Department of Neurosurgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Uijeongbu, Korea
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Extracorporeal shock wave lithotripsy (ESWL) is a well-established, safe, and effective therapeutic alternative to surgical treatment for urolithiasis. Complications of ESWL do occur in a small number of patients, and when they do, they typically involve the kidney. Formation of a spinal epidural hematoma is an extremely rare complication after ESWL for kidney stone removal. The authors present the case of a 61-year-old man in whom a large spinal epidural hematoma developed after ESWL. They discuss the possible pathogenic mechanism of such a complication.

Abbreviations used in this paper:

ESWL = extracorporeal shock wave lithotripsy; SEH = spinal epidural hematoma.

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