Simultaneous cranial subarachnoid hemorrhage and spinal subdural hematoma.
We report a rare case of simultaneous cranial subarachnoid and spinal subdural     hematoma (SDH) in a 42-year-old man who was on Warfarin therapy after     cardiac bypass surgery. Computed tomography at presentation revealed a cranial     subarachnoid hemorrhage, and spinal Magnetic Resonance Imaging (MRI) showed a     spinal SDH extending from the T6 to L5 segments. He had paraparesis due to     spinal cord compression. The patient was managed conservatively due to his poor     general condition and was infused with intravenous steroid therapy, but he     experienced sudden cardiac arrest 5 hours later after being admitted to the     hospital. This case is of interest because of its first presentation of spinal     subdural hematoma and cranial subarachnoid hemorrhage simultaneously and it is     also the second longest vertebral segmental spread in the literature.
Gaziantep University, Faculty of Medicine, Department of Radiology, Gaziantep, Turkey. dr.meteahmet@gmail.com
Ahmet
A
Mete
Ibrahim
I
Erkutlu
Aylin
A
Akcali
Alper
A
Mete
D000328:Adult; D000925:Anticoagulants / Q000009:adverse effects; D001026:Coronary Artery Bypass; D016757:Death, Sudden, Cardiac; D017809:Fatal Outcome; D046649:Hematoma, Subdural, Spinal / Q000139:chemically induced / Q000150:complications* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013117:Spinal Cord Compression / Q000209:etiology* / Q000473:pathology; D013345:Subarachnoid Hemorrhage / Q000139:chemically induced / Q000150:complications* / Q000473:pathology; D014859:Warfarin / Q000009:adverse effects
D000925:Anticoagulants; D014859:Warfarin