Migration of an Intracranial Subdural Hematoma to the Spinal Subdural Space: A Case Report
Korean Journal of Spine
;
: 207-209, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-56397
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Aracnoides
/
Recurrencia
/
Médula Espinal
/
Traumatismos Vertebrales
/
Columna Vertebral
/
Espacio Subaracnoideo
/
Espacio Subdural
/
Lágrimas
/
Encéfalo
/
Imagen por Resonancia Magnética
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Korean Journal of Spine
Año:
2015
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS