Spontaneous Resolution of Non-traumatic Cervical Spinal Subdural Hematoma Presenting Acute Hemiparesis: A Case Report
Korean Journal of Spine
; : 257-260, 2012.
Article
de En
| WPRIM
| ID: wpr-25727
Bibliothèque responsable:
WPRO
ABSTRACT
Spontaneous cervical SDH with no underlying pathology is a very unusual condition. To the best of the authors' knowledge, only two cases have been previously reported. A 48-year-old female patient was admitted to our emergency room due to severe neck pain following standing up position with rapid onset of hemiparesis. MRI revealed a dorsolateral subdural hematoma from C3-C5 with cord compression. An emergency laminectomy was planned, but motor weakness gradually improved during surgical preparation. The patient showed substantial clinical improvement and complete recovery was confirmed after 7 days of conservative management without surgical treatment. To determine a differential diagnosis distinct from other conditions such as cervical epidural hematoma, a lumbar spinal puncture was performed. Follow-up MRI performed 10 days after admission revealed complete resolution of the hematoma. We report an extremely rare case of spontaneous cervical spinal subdural hematoma (SDH), present a review of relevant literature, and discuss the etiology, pathogenesis, and prognosis of this case.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Parésie
/
Pronostic
/
Ponction lombaire
/
Études de suivi
/
Cervicalgie
/
Hématome subdural spinal
/
Diagnostic différentiel
/
Urgences
/
Hématome
/
Hématome subdural
Type d'étude:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limites du sujet:
Female
/
Humans
langue:
En
Texte intégral:
Korean Journal of Spine
Année:
2012
Type:
Article