title: Traumatic acute spinal subarachnoid hematoma.
abstract: 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.
authors.affiliation: Department of Neurosurgery, Chonnam National University Hospital and Medical School, 8 Hak-dong, Dong-ku, Gwangju, 501-757, Republic of Korea.
authors.forename: Woo-Youl
authors.initials: WY
authors.lastname: Jang
authors.forename: Jung-Kil
authors.initials: JK
authors.lastname: Lee
authors.forename: Kyung-Sub
authors.initials: KS
authors.lastname: Moon
authors.forename: Hyung-Jun
authors.initials: HJ
authors.lastname: Kwak
authors.forename: Sung-Pil
authors.initials: SP
authors.lastname: Joo
authors.forename: In-Young
authors.initials: IY
authors.lastname: Kim
authors.forename: Jae-Hyoo
authors.initials: JH
authors.lastname: Kim
authors.forename: Soo-Han
authors.initials: SH
authors.lastname: Kim
mesh_terms: 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