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09:14
Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
Published on: June 18, 2021
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
Summary
Spontaneous spinal subdural hematoma (SDH) is rare. This case report details a 35-year-old woman with both intracranial and spinal SDH, highlighting a unique presentation and successful surgical outcome.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Subdural hematoma (SDH) typically occurs in the intracranial space.
- Spinal SDH is an uncommon condition, often associated with trauma or coagulopathy.
- Concurrent intracranial and spinal SDH is exceptionally rare.
Observation:
- A 35-year-old woman presented with headache and dizziness, followed by progressive lower back pain and paraparesis.
- Magnetic resonance imaging confirmed the presence of both intracranial and spinal subdural hematomas.
- Diagnostic workup, including angiography, ruled out vascular malformations. Laboratory tests for coagulation and inflammation were within normal limits.
Findings:
- The patient was diagnosed with spontaneous intracranial and spinal SDH.
- Surgical intervention was performed to evacuate the hematomas.
- Histopathological examination confirmed the diagnosis.
Implications:
- This case underscores the importance of considering spinal SDH in patients with neurological deficits, even in the absence of typical risk factors.
- The successful surgical management highlights a potential treatment pathway for this rare condition.
- Further research into the etiology and optimal management of spontaneous spinal SDH is warranted.
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