Traumatic acute spinal subarachnoid hematoma.
This report describes a 66-year-old man who presented with progressive paraparesis after a fall. Magnetic resonance imaging showed an acute spinal hematoma at T11-12 with spinal cord compression. The patient underwent an emergency left T11-12 hemilaminectomy. The hematoma was subarachnoid and the source of bleeding was an injured radicular vein. To the best of our knowledge, this is the first reported case of traumatic spinal subarachnoid hematoma. We discuss the possible mechanism and our case illustrates an injured radicular vein can be a source of traumatic spinal subarachnoid hematoma.
Jang
Woo-Youl
WY
Department of Neurosurgery, Chonnam National University Hospital and Medical School, 8 Hak-dong, Dong-ku, Gwangju, 501-757, Republic of Korea.
Lee
Jung-Kil
JK
Moon
Kyung-Sub
KS
Kwak
Hyung-Jun
HJ
Joo
Sung-Pil
SP
Kim
In-Young
IY
Kim
Jae-Hyoo
JH
Kim
Soo-Han
SH
D000058:Accidental Falls; D000208:Acute Disease; D000368:Aged; D001780:Blood Coagulation Tests; D006801:Humans; D007796:Laminectomy; D008297:Male; D020335:Paraparesis / Q000209:etiology / Q000473:pathology*; D013117:Spinal Cord Compression / Q000150:complications / Q000473:pathology; D020206:Subarachnoid Hemorrhage, Traumatic / Q000150:complications / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed