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Spontaneous spinal subdural hematoma concurrent with cranial subdural hematoma
Wonjun Moon1, Wonil Joo, Jeongki Chough
1Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
A case of chronic spinal subdural hematoma (SDH) in a 39-year-old woman resolved after treatment. Concurrent cranial SDH was also identified and treated, highlighting the importance of checking for both.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Chronic spinal subdural hematoma (SDH) is a rare condition that can cause significant neurological deficits.
- This case highlights a non-traumatic presentation of spinal SDH.
Observation:
- A 39-year-old female presented with low back pain and radiating leg pain due to spinal SDH from L4 to S2, causing severe spinal canal stenosis.
- She subsequently developed nausea and headache, with brain imaging revealing concurrent chronic intracranial SDH and midline shift.
Findings:
- Surgical evacuation of the intracranial SDH led to symptom improvement.
- The spinal SDH resolved completely within 3 months, with resolution of back and leg pain.
Implications:
- Physicians should consider concurrent intracranial SDH in patients presenting with spinal SDH, particularly in non-traumatic cases.
- Early diagnosis and management of both spinal and cranial SDH are crucial for favorable outcomes.
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