Spinal Subdural Hematoma Associated with Intracranial Subdural Hematoma.
10.3340/jkns.2015.58.4.397
- Author:
Myoung Soo KIM
1
;
Sook Young SIM
Author Information
1. Department of Neurosurgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. hanibalkms@hanmail.net
- Publication Type:Case Report
- Keywords:
Brain;
Spine;
Trauma;
Subdural hematoma
- MeSH:
Aged, 80 and over;
Brain;
Emergencies;
Emergency Service, Hospital;
Female;
Follow-Up Studies;
Hematoma;
Hematoma, Subdural;
Hematoma, Subdural, Intracranial*;
Hematoma, Subdural, Spinal*;
Humans;
Lower Extremity;
Magnetic Resonance Imaging;
Neurologic Examination;
Sleep Stages;
Spine;
Trephining
- From:Journal of Korean Neurosurgical Society
2015;58(4):397-400
- CountryRepublic of Korea
- Language:English
-
Abstract:
The simultaneous occurrence of an intracranial and a spinal subdural hematoma (SDH) is rare. We describe a case of cranial SDH with a simultaneous spinal SDH. An 82-year-old woman visited the emergency room because of drowsiness and not being able to walk 6 weeks after falling down. A neurological examination showed a drowsy mentality. Brain computed tomography showed bilateral chronic SDH with an acute component. The patient underwent an emergency burr-hole trephination and hematoma removal. She exhibited good recovery after the operation. On the fourth postoperative day, she complained of low-back pain radiating to both lower limbs, and subjective weakness of the lower limbs. Spine magnetic resonance imaging revealed a thoracolumbosacral SDH. A follow-up spinal magnetic resonance imaging study that was performed 16 days later showed a significant decrease in the size of the spinal SDH. We discuss the pathogenesis of this simultaneous occurrence of spinal and cranial SDH.
