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KMID : 0860920200220020100
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2020 Volume.22 No. 2 p.100 ~ p.103
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Psoas Hematoma with a Large Pseudoaneurysm Causing Lumbar Plexopathy after Endoscopic Lumbar Decompression: A Case Report
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Lee Seung-Yeol
Seok Hyun
Kim Hyun-Jung
Ahn Jun-Young
Kim Sang-Hyun
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Abstract
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We report a case of psoas hematoma with a large pseudoaneurysm causing lumbar plexopathy following endoscopic lumbar decompression. A 34-year-old man had received posterolateral endoscopic lumbar decompression for the treatment of herniated intervertebral disc at L4/5 level. After endoscopic lumbar decompression, his low back pain, groin pain and motor weakness of his left lower extremity were more aggravated. Psoas hematoma with a pseudoaneurysm causing lumbar plexopathy was detected by computed tomography scan and confirmed by electrodiagnostic testing. In order to prevent permanent and catastrophic disability, a proper evaluation for detecting possible complication and immediate management should be needed during the early post-operative phase.
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KEYWORD
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Hematoma, Lumbar plexopathy, Pseudoaneurysm, Endoscopic lumbar decompression
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