Idiopathic lumbar spinal subdural hematoma.
Reports of spinal subdural hematoma are rare. In the few reported cases, type of onset, symptoms, and course have varied, precluding diagnosis based on simple radiography. Obtaining a definitive diagnosis and deciding on a treatment approach can thus sometimes be difficult. Spinal subdural hematoma is classified as acute, subacute or chronic. With acute spinal subdural hematoma, severe and sudden back pain occurs and progression to paraplegia is rapid, within several days. With subacute spinal subdural hematoma, progression to paraplegia occurs slowly, over a period of > or =1 week. Although several cases of spontaneous resolution have been described early surgical treatment is commonly required. This article presents a case of an 85-year-old woman with subacute spinal subdural hematoma who regained the ability to walk following surgical treatment.
Hamaguchi
Hiroyuki
H
Department of Orthopedics, Kyoto 1st Red Cross Hospital, 15-749, Honmachi, Higashiyama-ku, Kyoto 605-0981, Japan.
Osawa
Toru
T
Koyama
Kenzo
K
Daito
Masafumi
M
Yamazoe
Shoichi
S
Mikami
Yasuo
Y
Kubo
Toshikazu
T
D000369:Aged, 80 and over; D006259:Craniocerebral Trauma / Q000150:complications; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D046649:Hematoma, Subdural, Spinal / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome