Idiopathic lumbosacral spinal chronic subdural hematoma

Area of Science:

• Neurosurgery
• Spinal Medicine
• Radiology

Background:

• Spontaneous spinal chronic subdural hematoma (SDH) is exceptionally rare.
• Limited reported cases present diverse origins, symptoms, and treatments, complicating diagnosis and management.

Purpose of the Study:

• To report a rare case of idiopathic lumbosacral spinal chronic subdural hematoma.
• To discuss the varied etiologies and therapeutic strategies for spinal SDH.

Main Methods:

• A 74-year-old male presented with severe low back and buttock pain.
• Magnetic resonance imaging (MRI) revealed a diffuse subdural mass compressing nerve roots (L2-S2).
• Emergency surgical decompression and excision were performed.

Main Results:

• Surgical findings confirmed a spinal chronic subdural hematoma.
• The patient's pain resolved postoperatively.

Conclusions:

• Idiopathic spinal chronic subdural hematoma is a rare but treatable condition.
• Prompt surgical intervention can lead to significant symptom relief.