Unilateral biportal endoscopic decompression for acute spontaneous spinal epidural hematoma at the cervicothoracic junction: a case report and literature review - Takeaways - MDSpire

Unilateral biportal endoscopic decompression for acute spontaneous spinal epidural hematoma at the cervicothoracic junction: a case report and literature review

  • By

  • Longyao Cao

  • Hui Lu

  • Dongjie Zhang

  • June 25, 2026

  • 0 min

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  • 1

    Spontaneous spinal epidural hematoma (SSEH) is a rare neurosurgical emergency with an occurrence rate of 0.1 per 100,000 individuals per year.

  • 2

    The patient underwent unilateral biportal endoscopy (UBE) for decompression and hematoma evacuation at the C7-T2 level under general anesthesia.

  • 3

    UBE was completed in 90 minutes with an estimated blood loss of 50 mL, leading to significant neurological improvement by postoperative day 3.

  • 4

    At the 6-month follow-up, the patient achieved ASIA grade E with minimal residual increase in lower limb muscle tone.

  • 5

    UBE provides a minimally invasive alternative to open surgery for SSEH, offering reduced surgical trauma and accelerated neurological recovery.

Original Source(s)

Unilateral biportal endoscopic decompression for acute spontaneous spinal epidural hematoma at the cervicothoracic junction: a case report and literature review

  • by Longyao Cao, Hui Lu, Dongjie Zhang

  • June 25, 2026

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