• Sai-Cheung Lee, Shih-Tseng Lee, and Tai-Ngar Lui.
• Department of Neurosurgery, Chang Gung Memorial Hospital, Chang Gung University Taoyuan, Taiwan.
• J Clin Neurosci. 2004 Apr 1;11(3):302-4.

AbstractCervical laminectomy is one of the most common procedures performed in the sitting position. However in the presence of intracranial hypotension, a negative intradural pressure develops when the patients are in the sitting position. They are therefore at risk of developing cervical spinal epidural hematomas after cervical laminectomy. We report a case of a shunted patient who developed an epidural hematoma 3 days after a cervical laminectomy procedure in a seated position when he began to ambulate. When performing a cervical laminectomy procedure on a shunted patient, an upright position should be avoided during the operation. Intra-operative hypercapnia as well as intra- and post-operative intravenous hydration should be maintained in order to increase intradural pressure, preventing the formation of cervical spinal epidural hematoma after cervical laminectomy.

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