title: Uncommon magnetic resonance imaging observation of lumbar subdural hematoma with cranial origin.
abstract: A patient with a history of pain, paresthesias, and weakness in both legs is reported. Magnetic resonance imaging (MRI) of the lumbar spine demonstrated subacute subdural hematoma. Brain MRI obtained 1 day later because of progressive headache showed hemorrhagic cortical metastasis and extensive subdural hematoma. It is hypothesized that the lumbar hematoma originated from the intracranial bleeding, which was substantiated by the observation of a thin hemorrhagic collection connecting cranial and lumbar hematomas on MRI. Cranial origin should be included in the differential diagnosis of spontaneous spinal subdural hematomas.
authors.affiliation: Department of Medical Imaging, Saint Luc University Hospital, Université Catholique de Louvain, Hippocrate Avenue 10/2942B, 1200 Brussels, Belgium. lecouvet@rdgn.ucl.ac.be
authors.forename: Frédéric E
authors.initials: FE
authors.lastname: Lecouvet
authors.forename: Laurence
authors.initials: L
authors.lastname: Annet
authors.forename: Thierry P
authors.initials: TP
authors.lastname: Duprez
authors.forename: Guy
authors.initials: G
authors.lastname: Cosnard
authors.forename: Victor
authors.initials: V
authors.lastname: Scordidis
authors.forename: Jacques
authors.initials: J
authors.lastname: Malghem
mesh_terms: D000328:Adult; D002543:Cerebral Hemorrhage / Q000150:complications*; D003937:Diagnosis, Differential; D006408:Hematoma, Subdural / Q000209:etiology / Q000473:pathology*; D006801:Humans; D008161:Lumbosacral Region / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D018908:Muscle Weakness / Q000209:etiology; D010146:Pain / Q000209:etiology; D010292:Paresthesia / Q000209:etiology