Acute Spontaneous Spinal Subdural Hematoma with Vague Symptoms
Journal of Korean Neurosurgical Society
; : 269-271, 2014.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-140387
Responsible library:
WPRO
ABSTRACT
Spinal subdural hematoma is a rarely reported disease and spontaneous spinal subdural hematomas (SSDH) without underlying pathological changes are even rarer. The patients usually show typical symtoms such as back pain, quadriplegia, paraplegia or sensory change. But rarely, patients may show atypical symptoms such as hemiparesis and misdiagnosed to cerebrovascular accident. We recently experienced a case of SSDH, where the patient initially showed vague symptoms, such as the sudden onset of headache which we initially misdiagnosed as subarachnoid hemorrhage. In this case, the headache of patient improved but the neck pain persisted until hospital day 5. Therefre, we conducted the MRI of cervical spine and finally confirmed SSDH. The patient was managed conservatively and improved without recurrence. In this case report, we discuss the clinical features of SSDH with emphasis on the importance of an early diagnosis.
Full text:
Available
Health context:
SDG3 - Health and Well-Being
Health problem:
Target 3.4: Reduce premature mortality due to noncommunicable diseases
Database:
WPRIM (Western Pacific)
Main subject:
Paraplegia
/
Paresis
/
Quadriplegia
/
Recurrence
/
Spine
/
Subarachnoid Hemorrhage
/
Magnetic Resonance Imaging
/
Back Pain
/
Neck Pain
/
Stroke
Type of study:
Diagnostic study
/
Screening study
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2014
Document type:
Article