Spontaneous thoracic spinal subdural hematoma associated with fibromuscular dysplasia.
Spontaneous spinal subdural hematoma (SDH) is an uncommon cause of acute spinal cord compression. When it does occur, however, it may have disastrous results and a poor prognosis. The nontraumatic acute spinal SDH usually results from a defect in a hemostatic mechanism (such as coagulopathy or the use of anticoagulant therapy) or from iatrogenic causes (such as spinal puncture). Fibromuscular dysplasia (FMD) is a nonatherosclerotic systemic arteriopathy of unknown cause that typically affects the small and medium arteries in young to middle-aged women. The authors report on their experience with a patient with an acute spontaneous spinal SDH that occurred in conjunction with FMD.
Kim
Sang-Dae
SD
Department of Neurosurgery, Korea University Ansan Hospital, Ansan, Korea.
Park
Je-On
JO
Kim
Se-Hoon
SH
Lee
Young-Hen
YH
Lim
Dong-Jun
DJ
Park
Jung-Yul
JY
D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications*; D020199:Hematoma, Subdural, Acute / Q000209:etiology*; D046649:Hematoma, Subdural, Spinal / Q000209:etiology*; D006801:Humans; D007083:Iliac Artery / Q000473:pathology; D017538:Mesenteric Artery, Superior / Q000473:pathology; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply; D012077:Renal Artery / Q000473:pathology; D013117:Spinal Cord Compression / Q000209:etiology; D013904:Thoracic Vertebrae; D014711:Vertebral Artery / Q000473:pathology