Traumatic Spinal Subdural Hematoma with Intracranial Subdural Hematoma.
10.13004/kjnt.2014.10.2.146
- Author:
Hyun Gon KIM
1
;
Tae Wan KIM
;
Kwan Ho PARK
;
Moon Pyo CHI
Author Information
1. Department of Neurosurgery, VHS Medical Center, Seoul, Korea. euro3399@naver.com
- Publication Type:Case Report
- Keywords:
Hematoma subdural intracranial;
Hematoma subdural spinal;
Spinal cord injuries;
Injuries
- MeSH:
Follow-Up Studies;
Hematoma;
Hematoma, Subdural;
Hematoma, Subdural, Intracranial*;
Hematoma, Subdural, Spinal*;
Humans;
Hypesthesia;
Low Back Pain;
Lower Extremity;
Magnetic Resonance Imaging;
Middle Aged;
Spinal Cord Injuries;
Upper Extremity
- From:Korean Journal of Neurotrauma
2014;10(2):146-148
- CountryRepublic of Korea
- Language:English
-
Abstract:
Traumatic spinal subdural hematoma associated with intracranial subdural hematoma is a rare condition. Herein, we report the case of a 62-year-old man with lower back pain, radiating pain, and numbness in both lower extremities, without motor weakness, for 2 weeks. Lumbar magnetic resonance imaging (MRI) revealed high signal intensity on T1-weighted image (WI), and low signal intensity on T2-WI from L2 to L5. Two weeks after conservative management, follow-up lumbar MRI did not show the hematoma and his symptoms were relieved and there was no neurological deficit; therefore, he was discharged. However, subsequently, intracranial subdural hematoma increased and upper extremity motor weakness appeared. This was treated surgically. If there is no neurological deficit, conservative treatment may be a good option. Follow-up evaluation for asymptomatic cranial subdural hematoma is necessary.
