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Traumatic acute spinal subarachnoid hematoma.

Woo-Youl Jang¹, Jung-Kil Lee, Kyung-Sub Moon

¹Department of Neurosurgery, Chonnam National University Hospital and Medical School, 8 Hak-dong, Dong-ku, Gwangju, 501-757, Republic of Korea.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia

|November 10, 2006

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A traumatic spinal subarachnoid hematoma occurred in a 66-year-old man following a fall. This rare case highlights an injured radicular vein as a potential bleeding source, requiring emergency surgical decompression.

Area of Science:

Neurosurgery
Spinal Cord Injury
Traumatology

Background:

Spinal subarachnoid hematomas are rare, particularly those resulting from trauma.
Understanding the etiology of spinal hematomas is crucial for effective management.

Observation:

A 66-year-old male presented with progressive paraparesis after a fall.
MRI revealed an acute T11-12 spinal hematoma compressing the spinal cord.

Findings:

Emergency hemilaminectomy identified a subarachnoid hematoma.
The bleeding originated from an injured radicular vein.

Implications:

This case represents the first reported instance of traumatic spinal subarachnoid hematoma.
Injured radicular veins should be considered as a potential source of traumatic spinal subarachnoid hemorrhage.

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