• 제목/요약/키워드: Spinal subdural hematoma

검색결과 29건 처리시간 0.02초

Spinal Subdural Hematoma Following Cranial Subdural Hematoma : A Case Report with a Literature Review

  • Ji, Gyu Yeul;Oh, Chang Hyun;Chung, Daeyeong;Shin, Dong Ah
    • Journal of Korean Neurosurgical Society
    • /
    • 제54권6호
    • /
    • pp.515-517
    • /
    • 2013
  • Coexistence of cranial and spinal subdural hematomas is rare and only a few cases have been reported in the literature. Herein, we report a case of cranial and spinal subdural hematomas after previous head trauma. As the pathogenesis of simultaneous intracranial and spinal subdural hematoma yet remains unclear, we developed an alternative theory to those proposed in the literature for their coexistence, the migration of blood through the subdural space.

Spontaneous Spinal Subdural Hematoma Concurrent with Cranial Subdural Hematoma

  • Moon, Wonjun;Joo, Wonil;Chough, Jeongki;Park, Haekwan
    • Journal of Korean Neurosurgical Society
    • /
    • 제54권1호
    • /
    • pp.68-70
    • /
    • 2013
  • A 39-year old female presented with chronic spinal subdural hematoma manifesting as low back pain and radiating pain from both legs. Magnetic resonance imaging (MRI) showed spinal subdural hematoma (SDH) extending from L4 to S2 leading to severe central spinal canal stenosis. One day after admission, she complained of nausea and severe headache. Computed tomography of the brain revealed chronic SDH associated with midline shift. Intracranial chronic SDH was evacuated through two burr holes. Back pain and radiating leg pain derived from the spinal SDH diminished about 2 weeks after admission and spinal SDH was completely resolved on MRI obtained 3 months after onset. Physicians should be aware of such a condition and check the possibility of concurrent cranial SDH in patients with spinal SDH, especially with non-traumatic origin.

외상성 구개강내 출혈과 동반된 척추경막하 출혈; 요추 전자부 자연흡수 (Traumatic Spinal Subdural Hematoma Accompanying intracranial hematoma: Spontaneous Resolution after Pumbar Puncture)

  • 이원태;김석원
    • Journal of Trauma and Injury
    • /
    • 제19권1호
    • /
    • pp.93-96
    • /
    • 2006
  • A traumatic spinal subdural hematoma is a rare condition, and only nine cases have been reported until now. We report a rare case of concomitant intracranial hemorrhage and spinal subdural hematoma with a review of the literature. A 45-year-old man was referred to our institute after being stroke by a car. He complained of nausea, headache, back pain, and bilateral sciatica. Brain computed tomography and lumbar spine magnetic resonance images revealed both an intracerbral hemorrhage and a subdural hematoma in the L4 to S1 level. After performing a lumbar spinal puncture and draining the hemorrhagic cerebrospinal fluid (CSF), the intracranial and spinal hematomas were resolved completely without any neruologic deficits.

Spontaneous Resolution of Nontraumatic Acute Spinal Subdural Hematoma

  • Yang, Na-Rae;Kim, Sang-Jin;Cho, Yong-Jae;Cho, Do-Sang
    • Journal of Korean Neurosurgical Society
    • /
    • 제50권3호
    • /
    • pp.268-270
    • /
    • 2011
  • Spinal subdural hematoma (SSDH) is an extremely uncommon condition. Causative factors include trauma, anticoagulant drug administration, hemostatic disorders, and vascular disorders such as arteriovenous malformations and lumbar punctures. Of SSDH cases, those that do not have any traumatic event can be considered cases of nontraumatic acute spinal subdural hematoma, which is known to have diverse clinical progress. Treatment typically consists of surgical decompression and cases in which the condition is relieved with conservative treatment are rarely reported. We report two nontraumatic acute spinal subdural hematoma patients who were successfully treated without surgery.

Acute Cervical Spinal Subdural Hematoma Not Related to Head Injury

  • Kim, Hee-Yul;Ju, Chang-Il;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
    • /
    • 제47권6호
    • /
    • pp.467-469
    • /
    • 2010
  • We report an extremely rare case of traumatic cervical spinal subdural hematoma not related to intracranial injury. There has been no report on traumatic cervical spinal subdrual hematoma not related to intracranial injury. A 27-year-old female patient was admitted to our emergency room due to severe neck pain and right arm motor weakness after car collision. On admission, she presented with complete monoplegia and hypoesthesia of right arm. Magnetic resonance imaging (MRI) revealed subdural hematoma compressing spinal cord. Lumbar cerebrospinal fluid (CSF) analysis revealed 210,000 red blood cells/$mm^3$. She was managed conservatively by administrations of steroid pulse therapy and CSF drainage. Her muscle power of right arm improved to a Grade III 16 days after admission. Follow-up MRI taken 16th days after admission revealed almost complete resolution of the hematoma. Here, the authors report a traumatic cervical spinal SDH not associated with intracranial injury.

Spinal Subdural Hematoma Associated with Intracranial Subdural Hematoma

  • Kim, Myoung Soo;Sim, Sook Young
    • Journal of Korean Neurosurgical Society
    • /
    • 제58권4호
    • /
    • pp.397-400
    • /
    • 2015
  • 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.

Spontaneous Spinal Subdural Hematoma with Simultaneous Cranial Subarachnoid Hemorrhage

  • Jung, Hwan-Su;Jeon, Ikchan;Kim, Sang Woo
    • Journal of Korean Neurosurgical Society
    • /
    • 제57권5호
    • /
    • pp.371-375
    • /
    • 2015
  • 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.

Acute Cervical Subdural Hematoma with Quadriparesis after Cervical Transforaminal Epidural Block

  • Lee, Jun Kyu;Chae, Ki Whan;Ju, Chang Il;Kim, Byoung Wook
    • Journal of Korean Neurosurgical Society
    • /
    • 제58권5호
    • /
    • pp.483-486
    • /
    • 2015
  • Cervical epidural steroid injection is frequently used in the conservative management of neck pain and cervical radiculopathy. Epidural cervical transforaminal injections are usually well-tolerated with mild side effects such as transient decreased sensory and motor function, or headache due to dural puncture. Although there are a few case reports about adverse effects of cervical epidural injection in the literature, it can cause severe complications such as large hematoma, infarction by spinal vascular injury. Subdural hematoma has been occurred much less common rather than epidural hematoma in the spinal cord. We report a rare catastrophic case of cervical spinal subdural hematoma with quadriparesis after cervical transforaminal epidural block.

척수 경막하 출혈로 인한 하지마비 환자의 한방치료를 통한 근력 및 감각 호전 1례 (The Clinical Study on Motor Power and Sensory Improvement of Paraplegia due to Spinal Subdural Hematoma with Korean Medical Treatments: A Case Report)

  • 오세정;임성철;이윤규;김재수;이현종
    • Journal of Acupuncture Research
    • /
    • 제31권3호
    • /
    • pp.83-90
    • /
    • 2014
  • Objectives : The objective of this study is to report the clinical effects of Korean medical treatment for spinal subdural hematoma associated with anticoagulant drug. Methods : The patients were treated using acupuncture, electroacupuncture, herbal medication, moxibustion and physical treatment. And we checked American Spinal Injury Association scale, Spinal Cord Independence Measure Version III. Results : Motor score on the American Spinal Injury Association scale is increased 50 to 72. Sensory score on the American Spinal Injury Association scale is increased 124 to 170. Spinal Cord Independence Measure Version III is increased 18 to 26. Conclusions : This study suggest that Korean medical treatments are effective to spinal subdural hematoma patient.

요추 경막외 신경차단술 후 진행하는 하지마비를 동반한 전 요추 경막하 혈종 (Whole Lumbar Spinal Subdural Hematoma with Progressive Paraplegia after Lumbar Spinal Epidural Injection)

  • 최병완;박경구
    • 대한정형외과학회지
    • /
    • 제56권2호
    • /
    • pp.178-182
    • /
    • 2021
  • 척추의 혈종은 응급 치료를 요하는 상태로 대부분 경막외에 발생한다. 경막하 혈종은 흔히 경막외 혈종으로 오진되어 보다 급격한 신경학적 증상의 진행을 유발할 수 있으므로 정확한 진단과 치료에 대한 이해가 없으면 심각한 합병증을 유발할 수 있다. 저자들은 흔히 시행하는 경막외 신경차단술 후 기저 질환 없이 전 요추에 심한 경막하 혈종이 발생하여 진행하는 신경증상을 보였고 수술적으로 치료하여 그 증례를 보고하고자 한다.