Postoperative hematoma in cervical spondylosis patient complicated with Huntington’s disease: Case report and literature review

Hematoma is a life-threatening complication of anterior surgery in cervical spondylosis patients. Herein, we report a cervical spondylosis patient complicated with Huntington’s disease, who developed unexpected neck hematoma after anterior cervical discectomy and fusion (ACDF) surgical treatment. Du...

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Bibliographic Details
Published in:SAGE open medical case reports 2023-01, Vol.11, p.2050313X221147191
Main Authors: Zhang, Zifan, Xu, Chen, Wen, Guoqing, Dong, Minjie, Shen, Xiaolong, Gong, Baofeng, Sun, Baifeng, Qi, Min, Tian, Ye, Liu, Yang, Yuan, Wen
Format: Article
Language:English
Subjects:
Case Report
Huntingtons disease
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Summary:Hematoma is a life-threatening complication of anterior surgery in cervical spondylosis patients. Herein, we report a cervical spondylosis patient complicated with Huntington’s disease, who developed unexpected neck hematoma after anterior cervical discectomy and fusion (ACDF) surgical treatment. During the debridement, we found no noticeable vessel lesions and concluded that the occurrence of postoperative hematoma might be due to the drainage displacement caused by excessive uncontrolled movements of the neck after the operation. The patient recovered well, and further literature review suggests that chorea secondary to Huntington’s disease likely increases mechanical stress on the cervical spine, indicating an internal relationship between degenerative cervical spondylosis and Huntington’s disease. Cervical spondylotic patients complicated with Huntington’s disease can be treated with surgical intervention but need to be immobilized and under close observation.
ISSN:2050-313X
2050-313X
DOI:10.1177/2050313X221147191