{"id":"https://openalex.org/W7169587482","doi":"https://doi.org/10.25259/sni_397_2026","title":"Delayed traumatic spinal epidural hematoma after mild traumatic brain injury successfully treated with minimally invasive technique: A case report","display_name":"Delayed traumatic spinal epidural hematoma after mild traumatic brain injury successfully treated with minimally invasive technique: A case report","publication_year":2026,"publication_date":"2026-07-17","ids":{"openalex":"https://openalex.org/W7169587482","doi":"https://doi.org/10.25259/sni_397_2026","pmid":"https://pubmed.ncbi.nlm.nih.gov/42559466"},"language":"en","primary_location":{"id":"doi:10.25259/sni_397_2026","doi":"https://doi.org/10.25259/sni_397_2026","is_oa":false,"landing_page_url":"https://doi.org/10.25259/sni_397_2026","pdf_url":null,"source":{"id":"https://openalex.org/S170704854","display_name":"Surgical Neurology International","issn_l":"2152-7806","issn":["2152-7806","2229-5097"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgical Neurology International","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13440731/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5141095685","display_name":"Budi Santoso","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126826664","display_name":"Udayana University","ror":"https://ror.org/035qsg823","country_code":"ID","type":"education","lineage":["https://openalex.org/I126826664"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Budi Santoso","raw_affiliation_strings":["Department of Neurosurgery, Faculty of Medicine Universitas Udayana, Ngoerah"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Faculty of Medicine Universitas Udayana, Ngoerah","institution_ids":["https://openalex.org/I126826664"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5115023473","display_name":"Cindy Thiovany Soetomo","orcid":"https://orcid.org/0009-0009-3934-7654","observed_orcids":["https://orcid.org/0009-0009-3934-7654"]},"institutions":[{"id":"https://openalex.org/I126826664","display_name":"Udayana University","ror":"https://ror.org/035qsg823","country_code":"ID","type":"education","lineage":["https://openalex.org/I126826664"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Cindy Thiovany Soetomo","raw_affiliation_strings":["Department of Neurosurgery, Faculty of Medicine Universitas Udayana, Ngoerah"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Faculty of Medicine Universitas Udayana, Ngoerah","institution_ids":["https://openalex.org/I126826664"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117571178","display_name":"Kristian Gerry Raymond Sinarta Bangun","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126826664","display_name":"Udayana University","ror":"https://ror.org/035qsg823","country_code":"ID","type":"education","lineage":["https://openalex.org/I126826664"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Kristian Gerry Raymond Sinarta Bangun","raw_affiliation_strings":["Department of Neurosurgery, Faculty of Medicine Universitas Udayana, Ngoerah"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Faculty of Medicine Universitas Udayana, Ngoerah","institution_ids":["https://openalex.org/I126826664"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5095948829","display_name":"I Nyoman Gde Wahyudana","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"I. Nyoman Gde Wahyudana","raw_affiliation_strings":["Department of Neurosurgery, Tabanan General Hospital, Bali, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Tabanan General Hospital, Bali, Indonesia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103205594","display_name":"Tjokorda Gde Bagus Mahadewa","orcid":"https://orcid.org/0000-0003-1212-2219","observed_orcids":["https://orcid.org/0000-0003-1212-2219"]},"institutions":[{"id":"https://openalex.org/I126826664","display_name":"Udayana University","ror":"https://ror.org/035qsg823","country_code":"ID","type":"education","lineage":["https://openalex.org/I126826664"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Tjokorda Gde Bagus Mahadewa","raw_affiliation_strings":["Department of Neurosurgery, Faculty of Medicine Universitas Udayana, Ngoerah"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Faculty of Medicine Universitas Udayana, Ngoerah","institution_ids":["https://openalex.org/I126826664"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089447552","display_name":"I Wayan Niryana","orcid":"https://orcid.org/0000-0003-2626-5931","observed_orcids":["https://orcid.org/0000-0003-2626-5931"]},"institutions":[{"id":"https://openalex.org/I126826664","display_name":"Udayana University","ror":"https://ror.org/035qsg823","country_code":"ID","type":"education","lineage":["https://openalex.org/I126826664"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"I. Wayan Niryana","raw_affiliation_strings":["Department of Neurosurgery, Faculty of Medicine Universitas Udayana, Ngoerah"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurosurgery, Faculty of Medicine Universitas Udayana, Ngoerah","institution_ids":["https://openalex.org/I126826664"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.59588625,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":"405","last_page":"405"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13323","display_name":"Spinal Hematomas and Complications","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13323","display_name":"Spinal Hematomas and Complications","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10925","display_name":"Spinal Cord Injury Research","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/delayed-presentation","display_name":"delayed presentation","score":0.9620000123977661},{"id":"https://openalex.org/keywords/mild-traumatic-brain-injury","display_name":"mild traumatic brain injury","score":0.9909999966621399},{"id":"https://openalex.org/keywords/minimally-invasive-decompression","display_name":"minimally invasive decompression","score":0.8270000219345093},{"id":"https://openalex.org/keywords/unilateral-laminotomy","display_name":"unilateral laminotomy","score":0.9190000295639038},{"id":"https://openalex.org/keywords/spinal-stenosis","display_name":"spinal stenosis","score":0.8730000257492065},{"id":"https://openalex.org/keywords/cauda-equina-compression","display_name":"cauda equina compression","score":0.9559999704360962},{"id":"https://openalex.org/keywords/paraplegia","display_name":"paraplegia","score":0.8550000190734863},{"id":"https://openalex.org/keywords/urinary-incontinence","display_name":"urinary incontinence","score":0.9369999766349792},{"id":"https://openalex.org/keywords/neurological-deterioration","display_name":"neurological deterioration","score":0.6470000147819519},{"id":"https://openalex.org/keywords/spinal-cord-compression","display_name":"spinal cord compression","score":0.5830000042915344}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9632999897003174},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6721000075340271},{"id":"https://openalex.org/C2779480328","wikidata":"https://www.wikidata.org/wiki/Q1183684","display_name":"Decompression","level":2,"score":0.667900025844574},{"id":"https://openalex.org/C2781017439","wikidata":"https://www.wikidata.org/wiki/Q1995526","display_name":"Traumatic brain injury","level":2,"score":0.5630999803543091},{"id":"https://openalex.org/C2777597760","wikidata":"https://www.wikidata.org/wiki/Q1049655","display_name":"Paraplegia","level":3,"score":0.4957999885082245},{"id":"https://openalex.org/C2778990603","wikidata":"https://www.wikidata.org/wiki/Q6482011","display_name":"Laminotomy","level":4,"score":0.48969998955726624},{"id":"https://openalex.org/C2776531899","wikidata":"https://www.wikidata.org/wiki/Q2716919","display_name":"Epidural hematoma","level":3,"score":0.475600004196167},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.46309998631477356},{"id":"https://openalex.org/C2778334475","wikidata":"https://www.wikidata.org/wiki/Q1415275","display_name":"Spinal cord injury","level":3,"score":0.4526999890804291},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.4124000072479248},{"id":"https://openalex.org/C2780775167","wikidata":"https://www.wikidata.org/wiki/Q9606","display_name":"Spinal cord","level":2,"score":0.3763999938964844},{"id":"https://openalex.org/C2778231337","wikidata":"https://www.wikidata.org/wiki/Q2990703","display_name":"Spinal cord compression","level":3,"score":0.37209999561309814},{"id":"https://openalex.org/C2911149213","wikidata":"https://www.wikidata.org/wiki/Q1478321","display_name":"Spinal canal stenosis","level":4,"score":0.3684000074863434},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.35659998655319214},{"id":"https://openalex.org/C2780091945","wikidata":"https://www.wikidata.org/wiki/Q1801578","display_name":"Laminectomy","level":3,"score":0.3544999957084656},{"id":"https://openalex.org/C2777107032","wikidata":"https://www.wikidata.org/wiki/Q4388656","display_name":"Crush injury","level":2,"score":0.33500000834465027},{"id":"https://openalex.org/C2779662492","wikidata":"https://www.wikidata.org/wiki/Q468787","display_name":"Hematoma","level":2,"score":0.33410000801086426},{"id":"https://openalex.org/C2777996791","wikidata":"https://www.wikidata.org/wiki/Q1458658","display_name":"Decompressive craniectomy","level":3,"score":0.3312000036239624},{"id":"https://openalex.org/C2780168130","wikidata":"https://www.wikidata.org/wiki/Q2916167","display_name":"Neurological examination","level":2,"score":0.3310000002384186},{"id":"https://openalex.org/C2779326565","wikidata":"https://www.wikidata.org/wiki/Q781983","display_name":"Spinal canal","level":3,"score":0.3273000121116638},{"id":"https://openalex.org/C2778007845","wikidata":"https://www.wikidata.org/wiki/Q5173290","display_name":"Corticotomy","level":2,"score":0.30410000681877136},{"id":"https://openalex.org/C2777096672","wikidata":"https://www.wikidata.org/wiki/Q7577455","display_name":"Spinal decompression","level":3,"score":0.2921999990940094},{"id":"https://openalex.org/C2780175798","wikidata":"https://www.wikidata.org/wiki/Q1478321","display_name":"Spinal stenosis","level":3,"score":0.2874999940395355},{"id":"https://openalex.org/C2779091618","wikidata":"https://www.wikidata.org/wiki/Q1366695","display_name":"Urinary retention","level":2,"score":0.2858999967575073},{"id":"https://openalex.org/C3019419658","wikidata":"https://www.wikidata.org/wiki/Q19596746","display_name":"Surgical decompression","level":3,"score":0.26739999651908875},{"id":"https://openalex.org/C2994141250","wikidata":"https://www.wikidata.org/wiki/Q193078","display_name":"Traumatic injury","level":2,"score":0.2653000056743622}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.25259/sni_397_2026","doi":"https://doi.org/10.25259/sni_397_2026","is_oa":false,"landing_page_url":"https://doi.org/10.25259/sni_397_2026","pdf_url":null,"source":{"id":"https://openalex.org/S170704854","display_name":"Surgical Neurology International","issn_l":"2152-7806","issn":["2152-7806","2229-5097"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1"],"host_organization":"https://openalex.org/P4310320448","host_organization_name":"Medknow","host_organization_lineage":["https://openalex.org/P4310320448","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Medknow","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgical Neurology International","raw_type":"journal-article"},{"id":"pmid:42559466","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42559466","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Surgical neurology international","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:13440731","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13440731/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Surg Neurol Int","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:13440731","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13440731/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Surg Neurol Int","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9907000064849854,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.7917859554290771,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W35090042","https://openalex.org/W2121318135","https://openalex.org/W2620771743","https://openalex.org/W2739862673","https://openalex.org/W2795243683","https://openalex.org/W2806884176","https://openalex.org/W2896479873","https://openalex.org/W2969215114","https://openalex.org/W2990736354","https://openalex.org/W3141714561","https://openalex.org/W4310276519","https://openalex.org/W4313648499","https://openalex.org/W4401476160","https://openalex.org/W4404666896"],"related_works":[],"abstract_inverted_index":{"Background:":[0],"Concurrent":[1],"traumatic":[2,16,21],"cranial":[3,167],"and":[4,28,34,47,68,107,129,145,158,169,177],"spinal":[5,98,105,175,180],"epidural":[6,124],"hematomas":[7],"(SEHs)":[8],"are":[9,182],"rare":[10],"neurosurgical":[11],"emergencies.":[12],"Delayed":[13],"presentation":[14,128],"of":[15,44,51,103,122,132,142],"SHE":[17],"(TSEH)":[18],"following":[19],"mild":[20,82],"brain":[22],"injury":[23,168],"(TBI)":[24],"is":[25,208],"particularly":[26,162],"uncommon":[27],"may":[29,154,196],"contribute":[30],"to":[31,94,210],"delayed":[32,45,57,127,157,215],"diagnosis":[33],"progressive":[35,66,159],"neurological":[36,136,160,188],"deterioration.":[37],"This":[38,149],"report":[39],"highlights":[40],"the":[41,49,104,123],"diagnostic":[42],"challenge":[43],"TSEH":[46,153],"describes":[48],"use":[50],"minimally":[52,113,193],"invasive":[53,114,194],"decompression":[54,119,195,200],"in":[55,163,184,214],"a":[56,74,88],"presentation.":[58],"Case":[59],"Description:":[60],"A":[61],"48-year-old":[62],"female":[63],"presented":[64],"with":[65,101,120,140,156,165,186],"paraplegia":[67],"urinary":[69],"incontinence":[70],"1.5":[71],"months":[72],"after":[73],"motor":[75],"vehicle":[76],"accident":[77],"initially":[78],"managed":[79],"conservatively":[80],"for":[81,117,174],"TBI.":[83],"Magnetic":[84],"resonance":[85],"imaging":[86,181],"demonstrated":[87],"hyperacute-on-acute":[89],"SEH":[90],"extending":[91],"from":[92],"T11":[93],"L5,":[95],"causing":[96],"severe":[97],"canal":[99],"stenosis":[100],"compression":[102],"cord":[106],"cauda":[108],"equina.":[109],"The":[110],"patient":[111],"underwent":[112],"unilateral":[115],"laminotomy":[116],"bilateral":[118],"evacuation":[121],"hematoma.":[125],"Despite":[126],"4":[130],"days":[131],"complete":[133],"paraplegia,":[134],"postoperative":[135],"improvement":[137],"was":[138],"observed,":[139],"recovery":[141],"motor,":[143],"sensory,":[144],"bladder":[146],"function.":[147],"Conclusion:":[148],"case":[150],"emphasizes":[151],"that":[152],"present":[155],"deterioration,":[161],"patients":[164,185],"concomitant":[166],"distracting":[170],"trauma.":[171],"Maintaining":[172],"suspicion":[173],"pathology":[176],"performing":[178],"timely":[179],"essential":[183],"evolving":[187],"deficits.":[189],"In":[190],"selected":[191],"cases,":[192],"provide":[197],"adequate":[198],"neural":[199],"while":[201],"minimizing":[202],"tissue":[203],"disruption,":[204],"although":[205],"further":[206],"evidence":[207],"required":[209],"clarify":[211],"its":[212],"role":[213],"TSEH.":[216]},"counts_by_year":[],"updated_date":"2026-09-27T08:07:27.782135","created_date":"2026-07-18T00:00:00"}
