title: Unusual subdural hematoma after SPA use.
abstract: We report a case of right tentorium subdural hematoma (SDH) in a 72-year-old man a few days after he visited a sanitas per aqua (SPA) facility. He had directed high-pressure water onto his head and neck. The patient was admitted to the emergency room during his 3rd day of severe throbbing and generalized headache. Cerebral computed tomography revealed a high-density SDH over the right tentorium. This is the first reported case of SPA-related SDH. Neurologists might consider the possibility that SPA use may be a factor in SDH or unexplained neurologic events in otherwise healthy persons.
authors.affiliation: Division of Neurology, Department of Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC.
authors.forename: Chieh-Hsun
authors.initials: CH
authors.lastname: Lee
authors.forename: Yuk-Keung
authors.initials: YK
authors.lastname: Lo
authors.forename: Chi-Kuang
authors.initials: CK
authors.lastname: Liang
mesh_terms: D000368:Aged; D006408:Hematoma, Subdural / Q000209:etiology*; D006801:Humans; D008297:Male; D026741:Physical Therapy Modalities / Q000009:adverse effects*