Related Experiment Video
Updated: Jul 11, 2025
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Widespread spontaneous spinal epidural hematoma treated with a combined technique using a flexible neuroendoscope
Jungsu Choo1, Kenko Maeda1, Masaya Takemoto1
1Department of Neurosurgery, Japan Community Health Care Organization, Chukyo Hospital, Nagoya, Japan.
Background:
One-third of spinal epidural hematomas occur spontaneously, and these may be associated with the acute onset of severe paralysis. Here, we present a case of T4-L4 symptomatic spontaneous spinal epidural hematoma which was successfully removed using a flexible neuroendoscope after hemilaminectomy.
Case Description:
Using flexible neuroendoscopy, we successfully treated a T4-L4 spinal epidural hematoma in an 89-year-old Japanese female who spontaneously developed back pain and paraparesis. The hematoma was removed utilizing a hemilaminectomy at three vertebral levels (T11, T12, and L1), while the remaining hematoma debris was completely evacuated with flexible neuroendoscopy. Neurological improvement was observed immediately postsurgery.
Conclusion:
Flexible neuroendoscopy provided a less extensive surgical method for removing a T4-L4 spontaneous epidural hematoma.
