case_images: PMC10629296_01
case_images: T2-weighted magnetic resonance imaging of the thoracolumbar spine with epidural hematoma from T4 to L4 vertebrae. The hematoma was the thickest at the T12 level (12 mm). Contrast-enhanced computed tomography detected no source of bleeding. This was a symptomatic multi-vertebral spinal epidural hematoma requiring emergency surgery. This was explained to the patient who provided informed consent for surgery.
case_images: SNI-14-361-g001.jpg
case_images: PMC10629296_01_SNI-14-361-g001.jpg
case_images: F1
case_images: Magnetic resonance imaging (MRI) revealed a dorsal epidural hematoma from T4 to L4 [Figure 1].
case_images: Intraoperative views (a) After left hemilaminectomy, the epidural hematoma is suctioned, and the dura mater is located. (b) A flexible neuroendoscope is inserted from the hematoma removal cavity. (c) A hematoma is present in front of the neuroendoscope. (d) After removal of the hematoma, the hematoma is cleared, the dura mater (asterisk) is visible on the lower side of the scope's screen, and the epidural fat (black arrow) is visible on the upper side.
case_images: SNI-14-361-g002.jpg
case_images: PMC10629296_01_SNI-14-361-g002.jpg
case_images: F2
case_images: T11, T12, and L1 levels and removed/debrided additional intervening hematoma using a flexible neuroendoscope. The flexible neuroendoscope had an outer diameter of 5 mm [Figure 2].
case_images: T2-weighted magnetic resonance imaging at 1 week postoperatively.
case_images: SNI-14-361-g003.jpg
case_images: PMC10629296_01_SNI-14-361-g003.jpg
case_images: F3
case_images: The postoperative MRI showed no residual hematoma [Figure 3].