{"id":"https://openalex.org/W7222948843","doi":"https://doi.org/10.3389/fsurg.2026.1882255","title":"Recurrent postoperative symptomatic epidural hematoma after thoracic decompression surgery: a case report and literature review","display_name":"Recurrent postoperative symptomatic epidural hematoma after thoracic decompression surgery: a case report and literature review","publication_year":2026,"publication_date":"2026-10-19","ids":{"openalex":"https://openalex.org/W7222948843","doi":"https://doi.org/10.3389/fsurg.2026.1882255","pmid":"https://pubmed.ncbi.nlm.nih.gov/42973451","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13724321"},"language":"en","primary_location":{"id":"doi:10.3389/fsurg.2026.1882255","doi":"https://doi.org/10.3389/fsurg.2026.1882255","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1882255","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1882255/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1882255/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108593799","display_name":"Xu-Yu Liao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210164142","display_name":"Ningbo No.6 Hospital","ror":"https://ror.org/054qnke07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210164142"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Xuyu Liao","raw_affiliation_strings":["Spine Surgery Center, Ningbo No.6 Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spine Surgery Center, Ningbo No.6 Hospital","institution_ids":["https://openalex.org/I4210164142"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130563698","display_name":"Liujun Zhao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210164142","display_name":"Ningbo No.6 Hospital","ror":"https://ror.org/054qnke07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210164142"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Liujun Zhao","raw_affiliation_strings":["Spine Surgery Center, Ningbo No.6 Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spine Surgery Center, Ningbo No.6 Hospital","institution_ids":["https://openalex.org/I4210164142"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159031919","display_name":"Yong Hu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210164142","display_name":"Ningbo No.6 Hospital","ror":"https://ror.org/054qnke07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210164142"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yong Hu","raw_affiliation_strings":["Spine Surgery Center, Ningbo No.6 Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spine Surgery Center, Ningbo No.6 Hospital","institution_ids":["https://openalex.org/I4210164142"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134043883","display_name":"Liang Yu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210164142","display_name":"Ningbo No.6 Hospital","ror":"https://ror.org/054qnke07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210164142"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Liang Yu","raw_affiliation_strings":["Spine Surgery Center, Ningbo No.6 Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spine Surgery Center, Ningbo No.6 Hospital","institution_ids":["https://openalex.org/I4210164142"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148902604","display_name":"Yunlin Chen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210164142","display_name":"Ningbo No.6 Hospital","ror":"https://ror.org/054qnke07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210164142"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yunlin Chen","raw_affiliation_strings":["Spine Surgery Center, Ningbo No.6 Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spine Surgery Center, Ningbo No.6 Hospital","institution_ids":["https://openalex.org/I4210164142"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136322103","display_name":"Xudong Hu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210164142","display_name":"Ningbo No.6 Hospital","ror":"https://ror.org/054qnke07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210164142"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xudong Hu","raw_affiliation_strings":["Spine Surgery Center, Ningbo No.6 Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spine Surgery Center, Ningbo No.6 Hospital","institution_ids":["https://openalex.org/I4210164142"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5158276849","display_name":"Weihu Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210164142","display_name":"Ningbo No.6 Hospital","ror":"https://ror.org/054qnke07","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210164142"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Weihu Zhang","raw_affiliation_strings":["Spine Surgery Center, Ningbo No.6 Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spine Surgery Center, Ningbo No.6 Hospital","institution_ids":["https://openalex.org/I4210164142"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5108593799"],"corresponding_institution_ids":["https://openalex.org/I4210164142"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.81876903,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":"1882255","last_page":"1882255"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13323","display_name":"Spinal Hematomas and Complications","score":0.9980000257492065,"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":0.9980000257492065,"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/T12622","display_name":"Neurosurgical Procedures and Complications","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"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/T11518","display_name":"Cervical and Thoracic Myelopathy","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/ossification-of-the-ligamentum-flavum","display_name":"ligamentum flavum ossification","score":0.9070000052452087},{"id":"https://openalex.org/keywords/hematoma-evacuation","display_name":"hematoma evacuation","score":0.843999981880188},{"id":"https://openalex.org/keywords/intraoperative-hemostasis","display_name":"intraoperative hemostasis","score":0.8519999980926514},{"id":"https://openalex.org/keywords/spine-surgery-complications","display_name":"spinal surgery complications","score":0.5720000267028809}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9783999919891357},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7814000248908997},{"id":"https://openalex.org/C2779662492","wikidata":"https://www.wikidata.org/wiki/Q468787","display_name":"Hematoma","level":2,"score":0.698199987411499},{"id":"https://openalex.org/C2779480328","wikidata":"https://www.wikidata.org/wiki/Q1183684","display_name":"Decompression","level":2,"score":0.6366999745368958},{"id":"https://openalex.org/C2776531899","wikidata":"https://www.wikidata.org/wiki/Q2716919","display_name":"Epidural hematoma","level":3,"score":0.574999988079071},{"id":"https://openalex.org/C2777601897","wikidata":"https://www.wikidata.org/wiki/Q3409113","display_name":"Presentation (obstetrics)","level":2,"score":0.5163999795913696},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.49470001459121704},{"id":"https://openalex.org/C3019419658","wikidata":"https://www.wikidata.org/wiki/Q19596746","display_name":"Surgical decompression","level":3,"score":0.4814000129699707},{"id":"https://openalex.org/C3017420199","wikidata":"https://www.wikidata.org/wiki/Q578786","display_name":"Thoracic spine","level":2,"score":0.33329999446868896},{"id":"https://openalex.org/C2778842504","wikidata":"https://www.wikidata.org/wiki/Q1121544","display_name":"Ossification","level":2,"score":0.31679999828338623},{"id":"https://openalex.org/C2780913275","wikidata":"https://www.wikidata.org/wiki/Q578786","display_name":"Thoracic vertebrae","level":4,"score":0.3098999857902527},{"id":"https://openalex.org/C160022790","wikidata":"https://www.wikidata.org/wiki/Q2964004","display_name":"Cardiothoracic surgery","level":2,"score":0.2915000021457672},{"id":"https://openalex.org/C2777096672","wikidata":"https://www.wikidata.org/wiki/Q7577455","display_name":"Spinal decompression","level":3,"score":0.28610000014305115},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.2563999891281128},{"id":"https://openalex.org/C3019796121","wikidata":"https://www.wikidata.org/wiki/Q5048356","display_name":"Case presentation","level":2,"score":0.2515000104904175}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fsurg.2026.1882255","doi":"https://doi.org/10.3389/fsurg.2026.1882255","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1882255","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1882255/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13724321","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13724321/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13724321/pdf/fsurg-13-1882255.pdf","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","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Surg","raw_type":"Text"},{"id":"pmid:42973451","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42973451","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":"Frontiers in surgery","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:16c8d415b7854a41a0c8f7b92ce2d57f","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/16c8d415b7854a41a0c8f7b92ce2d57f","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Surgery, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fsurg.2026.1882255","doi":"https://doi.org/10.3389/fsurg.2026.1882255","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1882255","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1882255/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7222948843.pdf","grobid_xml":"https://content.openalex.org/works/W7222948843.grobid-xml"},"referenced_works_count":31,"referenced_works":["https://openalex.org/W1532439682","https://openalex.org/W1638242074","https://openalex.org/W1970415286","https://openalex.org/W1972927996","https://openalex.org/W1980447771","https://openalex.org/W2006123909","https://openalex.org/W2007760786","https://openalex.org/W2036524531","https://openalex.org/W2050351858","https://openalex.org/W2100273497","https://openalex.org/W2121318135","https://openalex.org/W2131336032","https://openalex.org/W2138821274","https://openalex.org/W2164590576","https://openalex.org/W2302952972","https://openalex.org/W2751862803","https://openalex.org/W2775527078","https://openalex.org/W2953934227","https://openalex.org/W2981235182","https://openalex.org/W2999157531","https://openalex.org/W3000328678","https://openalex.org/W3084645405","https://openalex.org/W3111929684","https://openalex.org/W3157797761","https://openalex.org/W3210693577","https://openalex.org/W4200339780","https://openalex.org/W4386369535","https://openalex.org/W4387380437","https://openalex.org/W4401325909","https://openalex.org/W4403809396","https://openalex.org/W4405563052"],"related_works":["https://openalex.org/W4412780544","https://openalex.org/W2164590576","https://openalex.org/W2353563113","https://openalex.org/W2287270713","https://openalex.org/W4386408847","https://openalex.org/W3000328678","https://openalex.org/W4410396852","https://openalex.org/W7161837964","https://openalex.org/W2348475886","https://openalex.org/W1980447771"],"abstract_inverted_index":{"Background:":[0],"Postoperative":[1],"symptomatic":[2,106],"epidural":[3,107],"hematoma":[4,79,108],"(PSEH)":[5],"is":[6,54,112],"a":[7,55,58],"rare":[8,41,115],"but":[9,116],"potentially":[10],"devastating":[11],"complication":[12],"following":[13],"thoracic":[14,35,64,110],"decompression":[15,65,111],"surgery,":[16],"with":[17,43],"an":[18,39,113],"incidence":[19],"of":[20,57,69,126,132],"less":[21],"than":[22],"1%.":[23],"While":[24],"isolated":[25],"PSEH":[26,76,151],"has":[27],"been":[28],"well":[29],"documented,":[30],"recurrent":[31,75,150],"PSEH,particularly":[32],"in":[33,101],"the":[34,70,83,86,89,102,146],"spine":[36],"which":[37],"represents":[38],"exceptionally":[40],"phenomenon":[42],"limited":[44,147],"literature":[45,148],"available":[46],"to":[47,82,145],"guide":[48],"clinical":[49,97],"management.":[50,157],"Case":[51],"presentation:":[52],"This":[53,142],"case":[56,143],"64-year-old":[59],"male":[60],"patient":[61],"who":[62],"underwent":[63],"surgery":[66],"for":[67,138,155],"ossification":[68],"ligamentum":[71],"flavum":[72],"and":[73,92,130,152],"developed":[74],"requiring":[77],"two":[78],"evacuations.":[80],"Due":[81],"timely":[84],"removing":[85],"collagenase":[87],"covering":[88],"dural":[90],"surface":[91],"meticulous":[93,124],"intraoperative":[94,156],"hemostasis,":[95],"excellent":[96],"outcomes":[98],"were":[99],"achieved":[100],"end.":[103],"Conclusion:":[104],"Recurrent":[105],"after":[109],"exceedingly":[114],"serious":[117],"complication.":[118],"Early":[119],"recognition,":[120],"prompt":[121],"surgical":[122],"intervention,":[123],"management":[125],"intraspinal":[127],"venous":[128],"hemorrhage":[129],"identification":[131],"underlying":[133],"risk":[134],"factors":[135],"are":[136],"essential":[137],"optimizing":[139],"neurological":[140],"outcomes.":[141],"adds":[144],"on":[149],"highlights":[153],"considerations":[154]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-10-20T00:00:00"}