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Iatrogenic intra-spinal subdural haematoma: An exceptionally rare phenomenon
Waqas Ahmad1, Uneza Masood1, Imran Khalid Niazi1
1Department of Radiology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.
Abstract:
Spinal subdural haematoma (SSDH) is very rare but potentially life debilitating spinal vascular condition, often developing acutely. Usually managed conservatively but may require immediate evacuation to prevent potential harm to the spinal cord. Predisposing factors can be spontaneous or iatrogenic. MRI remains the modality of choice to diagnose and see the age and extent of haemorrhage. We hereby present the case of a young child who developed iatrogenic spinal subdural haematoma.
Insights
Spinal subdural hematoma (SSDH) is a rare vascular condition. This case highlights an iatrogenic cause in a child, emphasizing diagnostic imaging.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Medicine
Background:
- Spinal subdural hematoma (SSDH) is a rare and potentially debilitating spinal vascular condition.
- SSDH often presents acutely and can lead to significant neurological deficits.
- Management ranges from conservative approaches to urgent surgical decompression.
Purpose of the Study:
- To present a case of iatrogenic spinal subdural hematoma in a pediatric patient.
- To discuss the diagnostic modalities and management considerations for pediatric SSDH.
- To highlight the importance of recognizing iatrogenic causes of SSDH.
Main Methods:
- Case report presentation.
- Review of clinical presentation, diagnostic imaging (MRI), and management.
- Discussion of predisposing factors, including iatrogenic causes.
Main Results:
- A young child developed an iatrogenic spinal subdural hematoma.
- Magnetic Resonance Imaging (MRI) was crucial for diagnosis, assessing hemorrhage extent and age.
- The case underscores the potential for iatrogenic SSDH in pediatric populations.
Conclusions:
- Iatrogenic spinal subdural hematoma, though rare, is a critical consideration in pediatric spinal emergencies.
- Prompt diagnosis with MRI is essential for appropriate management and prevention of spinal cord injury.
- Awareness of iatrogenic risks is vital for clinicians managing pediatric patients.
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