{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:36:35Z","timestamp":1740166595859,"version":"3.37.3"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A nontraumatic spontaneous spinal acute subdural hematoma (sSDH) is a rare complication after spinal surgery. Although an sSDH is often associated with anticoagulation therapy, vascular malformations, or lumbar puncture, the pathogenesis of nontraumatic spontaneous sSDH remains unclear. We present the case of an intradural hematoma after an extraforaminal surgery through the Wiltse approach for an extraforaminal disk herniation at L5\/S1. This 58-year-old woman experienced hypoesthesia and progressive motor dysfunction in the left leg several hours postoperation. Urgent magnetic resonance imaging revealed an intradural hematoma at the L1\/L2 to L2\/L3 level in the ventral dural sac proximal to the surgical level. Surgical decompression was performed. There was no evidence of trauma, coagulopathy, or anticoagulation therapy. To our knowledge, this case is the first to report an acute sSDH proximal to the surgery level after an extraforaminal spinal surgery through the Wiltse approach for an extraforaminal disk herniation. It illustrates that attentive postoperative neurologic monitoring, even in the absence of intraoperative irregularities, remains important to diagnose and treat this complication at the early stage.<\/jats:p>","DOI":"10.1055\/s-0040-1714432","type":"journal-article","created":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T23:17:50Z","timestamp":1603322270000},"page":"100-104","source":"Crossref","is-referenced-by-count":2,"title":["An Acute Spinal Intradural Hematoma after an Extraforaminal Wiltse Approach: A Case Report and Review of the Literature"],"prefix":"10.1055","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2874-8654","authenticated-orcid":false,"given":"Vincent","family":"Raymaekers","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Beck","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Science, Hasselt University, Hasselt, Limburg, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Svenja","family":"Goebel","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Science, Hasselt University, Hasselt, Limburg, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Femke","family":"Janssens","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Science, Hasselt University, Hasselt, Limburg, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lien","family":"Van den Branden","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Science, Hasselt University, Hasselt, Limburg, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomas","family":"Menovsky","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Antwerp University Hospital, Edegem, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Plazier","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Life Science, Hasselt University, Hasselt, Limburg, Belgium"},{"name":"Department of Neurosurgery, Jessa Hospital Campus Virga Jesse, Hasselt, Limburg, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,10,21]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1016\/j.wneu.2015.11.010","article-title":"Predictors of outcome in nontraumatic spontaneous acute spinal subdural hematoma: case report and literature review","volume":"89","author":"B J Pereira","year":"2016","journal-title":"World Neurosurg"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1055\/s-0031-1298602","article-title":"Acute spinal subdural hematoma complicating lumbar decompressive 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