Thoracic spinal cord epidural hematoma after extracorporeal shock wave lithotripsy

Case report

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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.

Article Information

Address correspondence to: Kyoung-Suok Cho, M.D., Ph.D., Department of Neurosurgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Uijeongbu 480-130, Korea. email: kscho@catholic.ac.kr.

Please include this information when citing this paper: published online November 25, 2011; DOI: 10.3171/2011.10.SPINE11236.

© AANS, except where prohibited by US copyright law.

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    Preoperative sagittal (left) and axial (right) T2-weighted MR images revealing an acute epidural hematoma with maximal compression at the T10–L1 level (arrows).

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    Postoperative sagittal (left) and axial (right) T2-weighted MR images showing no cord compression.

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