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Acute Spontaneous Spinal Subdural Hematoma: A Case Report.
M Yassin Mitwalli1, Amr Elmoheen1,2, Khalid Bashir1,2
1Emergency Department, Hamad Medical Corporation, Doha, Qatar.
The American Journal of Case Reports
|August 4, 2020
Summary
Spontaneous spinal subdural hematoma is a rare condition that can cause severe neurological deficits. Prompt diagnosis and surgical evacuation are crucial for improving patient outcomes.
Area of Science:
- Neurology
- Neurosurgery
- Spinal Cord Medicine
Background:
- Spontaneous spinal subdural hematoma (SSH) is a rare condition.
- Often associated with coagulation disorders, trauma, neoplasms, or arteriovenous malformations.
- Presents with progressive neurological deficits including pain, sensory loss, and motor weakness.
Observation:
- A 25-year-old patient presented with acute onset of non-traumatic upper back pain and left-sided weakness.
- Neurological examination revealed Brown-Sequard syndrome-like symptoms and posterior cord syndrome.
- Magnetic resonance imaging confirmed an acute spinal subdural hematoma causing cord compression.
Findings:
- The patient underwent urgent laminectomy and hematoma evacuation.
- Post-operative improvement in neurological function was observed.
- SSH can mimic stroke symptoms due to spinal cord compression.
Implications:
- Spinal subdural hematoma should be considered in the differential diagnosis of acute neurological deficits, even without apparent cause.
- Early recognition and intervention are vital for preventing permanent neurological damage.
- This case highlights the importance of advanced imaging in diagnosing spinal pathologies.
