Spontaneous Spinal Subdural Hematoma Concurrent with Cranial Subdural Hematoma.
10.3340/jkns.2013.54.1.68
- Author:
Wonjun MOON
1
;
Wonil JOO
;
Jeongki CHOUGH
;
Haekwan PARK
Author Information
1. Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. joowonil4858@gmail.com
- Publication Type:Case Report
- Keywords:
Spinal subdural hematoma;
Spontaneous;
Brain herniation
- MeSH:
Back Pain;
Brain;
Constriction, Pathologic;
Female;
Headache;
Hematoma, Subdural;
Hematoma, Subdural, Spinal;
Humans;
Leg;
Low Back Pain;
Magnetic Resonance Imaging;
Nausea;
Spinal Canal
- From:Journal of Korean Neurosurgical Society
2013;54(1):68-70
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 39-year old female presented with chronic spinal subdural hematoma manifesting as low back pain and radiating pain from both legs. Magnetic resonance imaging (MRI) showed spinal subdural hematoma (SDH) extending from L4 to S2 leading to severe central spinal canal stenosis. One day after admission, she complained of nausea and severe headache. Computed tomography of the brain revealed chronic SDH associated with midline shift. Intracranial chronic SDH was evacuated through two burr holes. Back pain and radiating leg pain derived from the spinal SDH diminished about 2 weeks after admission and spinal SDH was completely resolved on MRI obtained 3 months after onset. Physicians should be aware of such a condition and check the possibility of concurrent cranial SDH in patients with spinal SDH, especially with non-traumatic origin.
