Spinal Subdural Hematoma Associated with Intracranial Subdural Hematoma
Journal of Korean Neurosurgical Society
;
: 397-400, 2015.
Article
in English
| WPRIM
| ID: wpr-183086
ABSTRACT
The simultaneous occurrence of an intracranial and a spinal subdural hematoma (SDH) is rare. We describe a case of cranial SDH with a simultaneous spinal SDH. An 82-year-old woman visited the emergency room because of drowsiness and not being able to walk 6 weeks after falling down. A neurological examination showed a drowsy mentality. Brain computed tomography showed bilateral chronic SDH with an acute component. The patient underwent an emergency burr-hole trephination and hematoma removal. She exhibited good recovery after the operation. On the fourth postoperative day, she complained of low-back pain radiating to both lower limbs, and subjective weakness of the lower limbs. Spine magnetic resonance imaging revealed a thoracolumbosacral SDH. A follow-up spinal magnetic resonance imaging study that was performed 16 days later showed a significant decrease in the size of the spinal SDH. We discuss the pathogenesis of this simultaneous occurrence of spinal and cranial SDH.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sleep Stages
/
Spine
/
Trephining
/
Brain
/
Magnetic Resonance Imaging
/
Follow-Up Studies
/
Lower Extremity
/
Hematoma, Subdural, Intracranial
/
Hematoma, Subdural, Spinal
/
Emergencies
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Aged80
/
Female
/
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2015
Type:
Article
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