Published online Mar 31, 2009.
https://doi.org/10.4184/jkss.2009.16.1.50
Spontaneous Subdural Hematoma at Thoracolumbar spine - A Case Report -
Abstract
A 63 year-old female was brought to our hospital with severe lower back pain. She received antihypertensive drugs for 2 years but her blood pressure was normal upon arrival. She could not stand up or even walk. The MRI showed a subdural hematoma at the thoracolumbar region, which was extremely rare. The treatment applied was decompression through a spinal tap without surgery. After this, her pain subsided considerably. Two weeks later, MRI confirmed that there was no hematoma in the same region. She was discharged and has enjoyed her daily activities free of pain. A spontaneous subdural hematoma is an extremely rare disease. The condition was treated successfully in a conservative manner.
Fig. 1
High signal intensity was seen at T1 and T2 from T12 to S2 level.
Fig. 2
Hematoma was diagnosed definitely through the spinal tap.
Fig. 3
There is no visible hemorrhagic fluid in thecal sac
References
-
Kyriakides AE, Lalam RK, El Masry WS. Acute spontaneous subdural spinal hematoma presenting as paraplegia: a rare case. Spine 2007;32:619–622.
-
-
Jimbo H, Asamoto S, Mitsuyama T, Hatayama K, Iwasaki Y, Fukui Y. Spinal chronic subdural hematoma in association with anticoagulant therapy: a case report and literature review. Spine 2006;31:184–167.
-
-
Mashiko R, Noguchi S, Uemura K, Nagata T, Mastumura A. Lumbosacral subdural hematoma. Case report. Neurol Med Chir (Tokyo) 2006;46:258–261.
-
-
Png MA. Spontaneous lumbar subdural hematoma-a case report. Singapore Med J 1997;38:76–78.
-