title: [Acute spontaneous lumbar subdural hematoma associated with subacute cranial subdural hematoma. Case report].
abstract: BACKGROUND
  Acute spontaneous spinal subdural hematoma associated with subacute cranial subdural hematoma is a rare entity. There is no precise age of presentation, and there is a slight female predominance. Origin is primary or secondary to hematologic factors or vascular and iatrogenic procedures. The main symptom is motor deficit in 57% of the cases. Surgical treatment is warranted only with neurological deficits.
  
  
  METHODS
  We present the case of a 44-year-old male with severe headache and diagnosis of subacute frontoparietotemporal subdural hematoma and signs of lumbar radiculopathy. Prognosis is proportional to the initial neurologic deficit.
  
  
  CONCLUSIONS
  Patients with cranial subdural hematoma who develop neurological symptoms in the lower extremities should have magnetic resonance imaging study to rule out spinal subdural hematoma.
authors.affiliation: Centro Médico ABC, Departamento de Neurocirugía del Hospital Adolfo López Mateos, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, México. drbroc@yahoo.com
authors.forename: Guy Gilbert
authors.initials: GG
authors.lastname: Broc-Haro
authors.forename: Francisco
authors.initials: F
authors.lastname: Rodríguez-Valencia
authors.forename: Salvador
authors.initials: S
authors.lastname: Manrique-Guzmán
mesh_terms: D000328:Adult; D020199:Hematoma, Subdural, Acute / Q000150:complications* / Q000175:diagnosis; D046648:Hematoma, Subdural, Intracranial / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male