Related Experiment Videos
Lumbosacral subdural hematoma. Case report.
Ryota Mashiko1, Shozo Noguchi, Kazuya Uemura
1Department of Neurosurgery, Kitaibaraki Municipal General Hospital, Ibaraki, Japan. ryotamashiko@ybb.ne.jp
Neurologia Medico-Chirurgica
|May 26, 2006
Summary
A rare spinal subdural hematoma (SSH) can cause headache after diving. This case highlights that lumbago may indicate delayed SSH progression, even with spontaneous symptom regression.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Spinal subdural hematoma (SSH) is a rare condition, often presenting with neurological deficits.
- Diving activities can cause rapid intrathoracic and intraabdominal pressure changes, potentially leading to vascular injury.
Observation:
- An 18-year-old male presented with headache post-sea diving, initially without neurological deficits.
- Symptoms progressed to include neck stiffness and lumbago, with cerebrospinal fluid showing xanthochromia.
- Magnetic resonance imaging confirmed a lumbosacral subdural hematoma.
Findings:
- The spinal subdural hematoma regressed spontaneously with conservative management.
- Headache may be an early symptom of SSH, potentially co-occurring with subarachnoid hemorrhage.
- Lumbago following minor trauma can signify delayed progression of lumbosacral SSH.
Implications:
- Diving-induced pressure shifts are a potential cause of SSH.
- Clinicians should consider SSH in patients with persistent headache or new-onset lumbago after trauma.
- Conservative management can be effective for spontaneous SSH regression.