[Acute spontaneous lumbar subdural hematoma associated with subacute cranial subdural hematoma. Case report].
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.
Broc-Haro
Guy Gilbert
GG
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
Rodríguez-Valencia
Francisco
F
Manrique-Guzmán
Salvador
S
D000328:Adult; D020199:Hematoma, Subdural, Acute / Q000150:complications* / Q000175:diagnosis; D046648:Hematoma, Subdural, Intracranial / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male