Migration of an Intracranial Subdural Hematoma to the Spinal Subdural Space: A Case Report.
10.14245/kjs.2015.12.3.207
- Author:
O Ik KWON
1
;
Dong Wuk SON
;
Young Ha KIM
;
Young Soo KIM
;
Soon Ki SUNG
;
Sang Weon LEE
;
Geun Sung SONG
Author Information
1. Department of Neurosurgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea. oik99@naver.com
- Publication Type:Case Report
- Keywords:
Cerebrospinal fluid;
Intracranial subdural hematoma;
Spinal subdural hematoma;
Spinal injuries;
Subarachnoid space
- MeSH:
Arachnoid;
Back Pain;
Brain;
Cerebrospinal Fluid;
Follow-Up Studies;
Headache;
Hematoma, Subdural;
Hematoma, Subdural, Intracranial*;
Hematoma, Subdural, Spinal;
Humans;
Leg;
Low Back Pain;
Magnetic Resonance Imaging;
Middle Aged;
Recurrence;
Spinal Cord;
Spinal Injuries;
Spine;
Subarachnoid Space;
Subdural Space*;
Tears
- From:Korean Journal of Spine
2015;12(3):207-209
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 57-year-old man complained of severe lower back pain and radicular pain in both legs for 1 week after falling from a ladder. Magnetic resonance imaging (MRI) of the spine showed a subdural hematoma (SDH), which was surgically removed. The patient had no back pain or the radicular leg pain at 2 weeks post-surgery. However, he complained of diffuse headaches upon follow-up. Brain computed tomography (CT) and MRI revealed an intracranial SDH, which was immediately removed by surgery. During his 1-year follow-up, he reported that the pain had resolved without recurrence. Simultaneous spinal and intracranial SDH are rare and no standard treatment exists for this condition. This case suggests that it is possible that an intracranial SDH can migrate into the cerebrospinal fluid (CSF) space through an arachnoid tear. CSF circulation allows the intracranial SDH to enter subarachnoid spaces encasing the spinal cord. In order to prevent irreversible damage, surgical intervention should be considered for case of spinal SDH with progressive neurological deficits.
