Intracranial Vasospasm without Intracranial Hemorrhage due to Acute Spontaneous Spinal Subdural Hematoma.
- Author:
Jung Hwan OH
1
;
Seung Joo JWA
;
Tae Ki YANG
;
Chang Sub LEE
;
Kyungmi OH
;
Ji Hoon KANG
Author Information
- Publication Type:Case Report
- Keywords: Spinal subdural hematoma; Subarachnoid hemorrhage; Intracranial vasospasm; Headache
- MeSH: Adult; Brain; Cerebral Angiography; Female; Headache; Hematoma; Hematoma, Subdural, Spinal*; Hemorrhage; Humans; Intracranial Hemorrhages*; Leg; Magnetic Resonance Imaging; Spinal Cord; Spinal Cord Compression; Spine; Subarachnoid Hemorrhage; Urinary Incontinence; Vasospasm, Intracranial*
- From:Experimental Neurobiology 2015;24(4):366-370
- CountryRepublic of Korea
- Language:English
- Abstract: Spontaneous spinal subdural hematoma (SDH) is very rare. Furthermore, intracranial vasospasm (ICVS) associated with spinal hemorrhage has been very rarely reported. We present an ICVS case without intracranial hemorrhage following SDH. A 41-year-old woman was admitted to our hospital with a complaint of severe headache. Multiple intracranial vasospasms were noted on a brain CT angiogram and transfemoral cerebral angiography. However, intracranial hemorrhage was not revealed by brain MRI or CT. On day 3 after admission, weakness of both legs and urinary incontinence developed. Spine MRI showed C7~T6 spinal cord compression due to hyperacute stage of SDH. After hematoma evacuation, her symptoms gradually improved. We suggest that spinal cord evaluation should be considered in patients with headache who have ICVS, although intracranial hemorrhage would not be visible in brain images.
