Spontaneous Spinal Subdural Hematoma with Simultaneous Cranial Subarachnoid Hemorrhage.
10.3340/jkns.2015.57.5.371
- Author:
Hwan Su JUNG
1
;
Ikchan JEON
;
Sang Woo KIM
Author Information
1. Department of Neurosurgery, Yeungnam University College of Medicine, Daegu, Korea. jicns@hanmail.net
- Publication Type:Case Report
- Keywords:
Spontaneous;
Spinal subdural hematoma;
Subarachnoid hemorrhage
- MeSH:
Aneurysm;
Aortic Valve;
Decompression, Surgical;
Early Diagnosis;
Emergencies;
Female;
Hematoma, Subdural;
Hematoma, Subdural, Spinal*;
Humans;
Incidence;
Intracranial Hemorrhages;
Platelet Aggregation Inhibitors;
Subarachnoid Hemorrhage*;
Warfarin
- From:Journal of Korean Neurosurgical Society
2015;57(5):371-375
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spontaneous spinal subdural hematoma is reported at a rare level of incidence, and is frequently associated with underlying coagulopathy or those receiving anticoagulant or antiplatelet agents; some cases accompany concomitant intracranial hemorrhage. The spontaneous development of spinal subdural hemorrhage (SDH) is a neurological emergency; therefore, early diagnosis, the discontinuation of anticoagulant, and urgent surgical decompression are required to enable neurological recovery. In this report, we present a simultaneous spinal subdural hematoma and cranial subarachnoid hemorrhage, which mimicked an aneurysmal origin in a female patient who had been taking warfarin due to aortic valve replacement surgery.
