Rapid spontaneous remission of a spontaneous spinal chronic subdural hematoma in a child.
A 13-year-old boy presented with a rare spontaneous spinal chronic subdural hematoma (SCSDH) with no associated trauma or medical problems manifesting as back and bilateral lower extremity pain persisting for 10 days. Neurological examination revealed mild weakness and paresthesia in both lower extremities. Magnetic resonance (MR) imaging performed 1 week after the appearance of symptoms revealed a chronic subdural hematoma at the thoracolumbosacral region. Follow-up MR imaging performed 1 week later showed significant resolution of the hematoma without the need for surgery. The patient was discharged with only conservative management. This case of spontaneous SCSDH with rapid spontaneous remission in a child not associated with coagulopathy indicates that aggressive surgical treatment should be delayed as long as possible in pediatric patients because the spinal structure is still developing.
Park
Dong-Hyuk
DH
Department of Neurosurgery, Korea University, College of Medicine, Seoul, ROK.
Cho
Tai-Hyoung
TH
Lee
Jang-Bo
JB
Park
Jung-Yul
JY
Park
Youn-Kwan
YK
Chung
Yong-Gu
YG
Suh
Jung-Keun
JK
D000293:Adolescent; D020200:Hematoma, Subdural, Chronic / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D046649:Hematoma, Subdural, Spinal / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008297:Male; D012075:Remission, Spontaneous; D013997:Time Factors