Cranial subdural haematoma with concomitant spinal epidural and spinal subarachnoid haematomas: a case report.
A 76-year-old man presented with a 4-day history of bilateral leg pain. Magnetic resonance imaging (MRI) of the lumbosacral spine revealed a spinal subarachnoid and spinal epidural haematomas. MRI of the brain revealed a chronic intracranial subdural haematoma with a midline shift. On further questioning, the patient reported a history of a fall 6 weeks earlier and had no evidence of coagulopathy. He underwent a burr-hole decompression of the intracranial subdural haematoma. At the one-year follow-up, the patient was symptom free with no leg pain or headache. The concomitant occurrence of an intracranial subdural haematoma with spinal epidural and spinal subarachnoid haematomas is rare. MRI of the brain and the entire spine is essential in the presence of a spontaneous spinal haematoma.
Kishen
Thomas
T
Spine Service, Department of Orthopaedic Surgery, St George Clinical School, University of New South Wales, Sydney, Australia.
Etherington
Greg
G
Diwan
Ashish
A
D000058:Accidental Falls; D000368:Aged; D019299:Decompression, Surgical; D003937:Diagnosis, Differential; D006407:Hematoma, Epidural, Cranial / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D020199:Hematoma, Subdural, Acute / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male