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Spontaneous spinal and intracranial subdural hematoma

Ming-Shiang Yang1, Yung-Wei Tung, Tzu-Hsien Yang

  • 1Department of Diagnostic Radiology, China Medical University Hospital, Taiwan.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|March 19, 2009
PubMed

Subdural hematoma (SDH) of the spine following intracranial hemorrhage is extremely rare. We present a 35-year-old woman who suffered from headache and dizziness initially, and then lower back pain, lower limb weakness and paraparesis gradually developed within 1-2 weeks. Magnetic resonance imaging revealed intracranial and spinal SDH. No vascular abnormality was seen by brain and spinal angiography. Platelet count, prothrombin time, activated partial thromboplastin time, and inflammatory markers, including C-reactive protein, were normal. A diagnosis of spontaneous spinal and intracranial SDH was then confirmed surgically. Postoperative recovery was uneventful.

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