title: Spinal subdural hematoma associated with traumatic intracranial interhemispheric subdural hematoma.
abstract: A 78-year-old female fell and hit the back of her head on the floor. Head computed tomography (CT) showed right acute interhemispheric subdural hematoma (ISDH). Her left hemiparesis worsened, so partial removal of ISDH was performed. The hemiparesis was improved, but leg monoparesis persisted. Lumbar magnetic resonance imaging showed spinal subdural hematoma (SSDH) at the S1-2 level. Nerve conduction velocity measurements at the knee joint to lower limb showed disappearance of the left peroneal nerve conduction wave, indicating that one of the causes of drop foot was common peroneal nerve palsy. With conservative therapy, her drop foot was gradually improved, then she recovered to walk with a stick and moved to a rehabilitation hospital. Lumbar MR imaging should be performed to rule out SSDH in a patient with posterior fossa subdural hematoma on initial head CT who develops leg palsy.
authors.affiliation: Department of Neurosurgery, Nabari City Hospital, Nabari, Mie, Japan. d-wajima@nabari-hospital.jp
authors.forename: Daisuke
authors.initials: D
authors.lastname: Wajima
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yokota
authors.forename: Yuki
authors.initials: Y
authors.lastname: Ida
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nakase
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000927:Anticonvulsants / Q000627:therapeutic use; D006259:Craniocerebral Trauma / Q000150:complications*; D003399:Craniotomy; D003937:Diagnosis, Differential; D004828:Epilepsies, Partial / Q000188:drug therapy / Q000209:etiology; D005260:Female; D020233:Gait Disorders, Neurologic / Q000209:etiology; D046648:Hematoma, Subdural, Intracranial / Q000139:chemically induced / Q000150:complications* / Q000601:surgery; D046649:Hematoma, Subdural, Spinal / Q000139:chemically induced / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D009104:Multiple Trauma; D009431:Neural Conduction; D020370:Osteoarthritis, Knee / Q000150:complications; D010291:Paresis / Q000209:etiology; D010543:Peroneal Nerve / Q000503:physiopathology; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects; D014057:Tomography, X-Ray Computed
chemical_list: D000927:Anticonvulsants; D010975:Platelet Aggregation Inhibitors