Anterior cervical spine operations involve decompression of the spinal canal and cervical nerve roots by discectomy or corpectomy in combination with fusion via cage or replacement of a vertebral body. Bailey and Badgley,1 Smith and Robinson,2 and Cloward3 introduced the technique first in the 1950s and the early 1960s. The reported rates of clinical success in the literature are high4 and low-...

Cervical interlaminar epidural steroid injections (ESIs) are commonly performed as one part of a multi-modal analgesic regimen in the management of upper extremity radicular pain. Spinal epidural hematoma (SEH) is a rare complication with a reported incidence ranging from 1.38 in 10,000 to 1 in 190,000 epidurals. Current American Society of Regional Anesthesia (ASRA), American Society of Interv...

BACKGROUND AND OBJECTIVES Hematoma associated with spinal compression after epidural anesthesia is a severe neurological complication, despite the reduced incidence reported (1:150,000). It is an acute episode and the traditional treatment includes urgent surgical decompression. More recently, treatment with corticosteroids has been used as an alternative, in specific cases, with good neurologi...

Background and Aims This study compared if perianal block using ropivacaine and dexmedetomidine was as good as spinal anesthesia (SA) using bupivacaine (heavy) for closed hemorrhoidectomies. Methods A prospective randomized study was conducted in sixty patients who underwent closed hemorrhoidectomy. Thirty patients of Group A received SA. Thirty patients in Group B received local perianal blo...

We report a case of spinal epidural hematoma (SEH) preceded by diagnostic lumbar puncture (LP) in a 5-year-old boy with acute lymphoblastic leukemia. MRI confirmed the presence of SEH between T7 and L5 levels, but the patient showed fast recovery during the next hours and conservative management was elected.

neurologists are required to rapidly diagnose and manage patients presenting with acute neurological deficits. An awareness of stroke mimics is necessary to avoid unnecessary administration of intravenous tissue plasminogen activator, particularly in cases where thrombolysis could lead to devastating outcomes. We present a case of spontaneous cervical spinal epidural hematoma (SEH) presenting w...

Spontaneous spinal epidural hematoma (SSHE) is a rare entity can have several reasons. Its prevalence in population is 0.1 per 100,000 with the male to female ratio of 1/4:1. For the first time Jackson in 1869 reported a case of SSHE and after that it was declared as several hundred cases in literatures. Here, a case of SSHE was reported in a 52 year-old male referred to emergency department fo...

An acute spinal epid ural hematoma is a neurosurgical emergency. If a prompt diagnosis is not made and decompression not undertaken shortly after the onset of symptoms, neurologic deficits are usually irreversible and death often ensues [1 -6]. Although early recog nition of this condition is possible with high-reso lution computed tomography (CT) because the hematoma may be directly visuali ze...