title: Intracranial Vasospasm without Intracranial Hemorrhage due to Acute Spontaneous Spinal Subdural Hematoma.
abstract: Spontaneous spinal subdural hematoma (SDH) is very rare. Furthermore, intracranial vasospasm (ICVS) associated with spinal hemorrhage has been very rarely reported. We present an ICVS case without intracranial hemorrhage following SDH. A 41-year-old woman was admitted to our hospital with a complaint of severe headache. Multiple intracranial vasospasms were noted on a brain CT angiogram and transfemoral cerebral angiography. However, intracranial hemorrhage was not revealed by brain MRI or CT. On day 3 after admission, weakness of both legs and urinary incontinence developed. Spine MRI showed C7~T6 spinal cord compression due to hyperacute stage of SDH. After hematoma evacuation, her symptoms gradually improved. We suggest that spinal cord evaluation should be considered in patients with headache who have ICVS, although intracranial hemorrhage would not be visible in brain images.
authors.affiliation: Department of Neurology, Jeju National University Hospital, Jeju 63241, Korea.
authors.forename: Jung-Hwan
authors.initials: JH
authors.lastname: Oh
authors.affiliation: Department of Neurology, Jeju National University Hospital, Jeju 63241, Korea.
authors.forename: Seung-Joo
authors.initials: SJ
authors.lastname: Jwa
authors.affiliation: Department of Neurosurgery, Jeju National University Hospital, Jeju 63241, Korea.
authors.forename: Tae Ki
authors.initials: TK
authors.lastname: Yang
authors.affiliation: Department of Neurosurgery, Jeju National University Hospital, Jeju 63241, Korea.
authors.forename: Chang Sub
authors.initials: CS
authors.lastname: Lee
authors.affiliation: Department of Neurology, Korea University Medical Center, Seoul 02841, Korea.
authors.forename: Kyungmi
authors.initials: K
authors.lastname: Oh
authors.affiliation: Department of Neurology, Jeju National University Hospital, Jeju 63241, Korea.
authors.forename: Ji-Hoon
authors.initials: JH
authors.lastname: Kang
keywords: Headache; Intracranial vasospasm; Spinal subdural hematoma; Subarachnoid hemorrhage