title: Treatment of spontaneous cervical spinal subdural hematoma with methylprednisolone pulse therapy.
abstract: We report herein a case of hyperacute onset of spontaneous cervical spinal subdural hematoma treated with methylprednisolone pulse therapy that showed good results. A 57-year-old man was admitted for posterior neck pain and paraparesis which occurred an hour ago. MRI revealed a ventral subdural hematoma distributed from the level of C1 down to T3, compressing the spinal cord. Conservative management with methylprednisolone pulse therapy was administered considering the patient's poor general condition. Although emergent surgical decompression is necessary in most cases of spinal subdural hematoma, conservative management with steroid therapy could be effective.
authors.affiliation: Department of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, 712 Eonju-ro, Gangnam-gu, Seoul 135-720, Korea.
authors.forename: Tae-Jin
authors.initials: TJ
authors.lastname: Song
authors.forename: Jun-Bum
authors.initials: JB
authors.lastname: Lee
authors.forename: Young-Chul
authors.initials: YC
authors.lastname: Choi
authors.forename: Kyung-Yul
authors.initials: KY
authors.lastname: Lee
authors.forename: Won-Joo
authors.initials: WJ
authors.lastname: Kim
mesh_terms: D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D005938:Glucocorticoids / Q000008:administration & dosage / Q000627:therapeutic use*; D046649:Hematoma, Subdural, Spinal / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage / Q000627:therapeutic use*; D008875:Middle Aged; D020335:Paraparesis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D014057:Tomography, X-Ray Computed
chemical_list: D005938:Glucocorticoids; D008775:Methylprednisolone