title: Acute spinal subdural hematoma after vigorous back massage: a case report and review of literature.
abstract: METHODS
  A case report and review of literature.
  
  
  OBJECTIVE
  We report on a patient with traumatic spinal subdural hematoma after vigorous back massage while on vacation.
  
  
  BACKGROUND
  Traumatic spinal subdural hematoma is extremely rare, and to our knowledge, this is the first case reported after violent back massage. We emphasize a high index of suspicion for early recognition and treatment for a good neurological recovery.
  
  
  METHODS
  A 41-year-old male was brought to our hospital with severe back pain, motor and sensory impairments of the bilateral lower extremities, and urinary dysfunction after vigorous back massage. Magnetic resonance images revealed an acute spinal subdural hematoma in the thoracolumbar region. After careful monitoring of his neurological status, the patient was successfully managed with conservative treatment.
  
  
  RESULTS
  After 2 weeks of hospitalization, complete motor power recovery was achieved with only minor sensory deficit. At a follow-up of more than 12 months, the patient has no residual neurological deficits.
  
  
  CONCLUSIONS
  Spinal subdural hematoma secondary to physical trauma is quite rare. This case brings new information that traumatic spinal subdural hematoma can be caused by violent massage.
  
  
  METHODS
  N/A.
authors.affiliation: *Spine Center and †Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang-si, Gyeonggi-do, South Korea.
authors.forename: Praful
authors.initials: P
authors.lastname: Maste
authors.forename: Sang-Hoon
authors.initials: SH
authors.lastname: Paik
authors.forename: Jae-Keun
authors.initials: JK
authors.lastname: Oh
authors.forename: Yong-Chan
authors.initials: YC
authors.lastname: Kim
authors.forename: Moon-Soo
authors.initials: MS
authors.lastname: Park
authors.forename: Tae-Hwan
authors.initials: TH
authors.lastname: Kim
authors.forename: Yoon-Hae
authors.initials: YH
authors.lastname: Kwak
authors.forename: Jae-Kyun
authors.initials: JK
authors.lastname: Jung
authors.forename: Ho-Won
authors.initials: HW
authors.lastname: Lee
authors.forename: Seok Woo
authors.initials: SW
authors.lastname: Kim
mesh_terms: D000328:Adult; D046649:Hematoma, Subdural, Spinal / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D017116:Low Back Pain / Q000209:etiology; D008297:Male; D008405:Massage / Q000009:adverse effects*; D010264:Paraplegia / Q000209:etiology