title: Severe delayed diffuse cerebral vasospasm and cerebral infarctions following spinal subdural hemorrhage.
abstract: BACKGROUND
  We report a rare case of severe delayed cerebral vasospasm with cerebral infarctions after spinal subdural hemorrhage.
  
  
  METHODS
  A 56-year-old woman presented with an acute onset of paraplegia. MR-imaging revealed an extensive intraspinal hemorrhage reaching from T1 to L1. The hematoma was evacuated via a T8-laminectomy. At the 7th postoperative day the patient developed visual disturbances. MR-scanning revealed extensive infarctions and cerebral angiography showed severe diffuse vasospasms.
  
  
  CONCLUSIONS
  This case demonstrates that cerebral vasospasm may be caused by a spinal subdural hemorrhage, supporting the hypothesis that cerebral vasospasm may be triggered by factors from a remote site and that a direct contact of blood clots with the vessel is not mandatory.
authors.affiliation: Department of Neurosurgery, Johann Wolfgang Goethe University, Frankfurt am Main, Germany. Matthias.Setzer@kgu.de
authors.forename: M
authors.initials: M
authors.lastname: Setzer
authors.forename: S
authors.initials: S
authors.lastname: Weidauer
authors.forename: M
authors.initials: M
authors.lastname: Zimmermann
authors.forename: J
authors.initials: J
authors.lastname: Berkefeld
authors.forename: V
authors.initials: V
authors.lastname: Seifert
authors.forename: A
authors.initials: A
authors.lastname: Raabe
mesh_terms: D002544:Cerebral Infarction / Q000209:etiology*; D005260:Female; D006408:Hematoma, Subdural / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D013997:Time Factors; D020301:Vasospasm, Intracranial / Q000209:etiology*