Spontaneous spinal and intracranial subdural hematoma.
Subdural hematoma (SDH) of the spine following intracranial hemorrhage is extremely rare. We present a 35-year-old woman who suffered from headache and dizziness initially, and then lower back pain, lower limb weakness and paraparesis gradually developed within 1-2 weeks. Magnetic resonance imaging revealed intracranial and spinal SDH. No vascular abnormality was seen by brain and spinal angiography. Platelet count, prothrombin time, activated partial thromboplastin time, and inflammatory markers, including C-reactive protein, were normal. A diagnosis of spontaneous spinal and intracranial SDH was then confirmed surgically. Postoperative recovery was uneventful.
Yang
Ming-Shiang
MS
Department of Diagnostic Radiology, China Medical University Hospital, Taiwan.
Tung
Yung-Wei
YW
Yang
Tzu-Hsien
TH
Chai
Jyh-Wen
JW
Chen
Clayton Chi-Chang
CC
Chan
Si-Wa
SW
Tu
Chung-Wei
CW
D000328:Adult; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D020199:Hematoma, Subdural, Acute / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D046649:Hematoma, Subdural, Spinal / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging