title: Traumatic Lumbar Subdural Hematoma in the Absence of Intracranial Disease.
abstract: BACKGROUND
  Traumatic spinal subdural hematoma is an exceedingly rare condition, with those occurring in the absence of intracranial disease being particularly uncommon. Only 13 such cases have been reported. Although theories exist to describe the pathophysiology of traumatic spinal subdural hematoma, the precise mechanism and guidelines for management remain unclear.
  
  
  METHODS
  This report describes a 37-year-old woman who suffered a traumatic assault who developed progressive low back pain with radicular symptoms 2 days after presentation. Magnetic resonance imaging revealed a lumbar subdural hematoma extending from L1 to L5. No intracranial disease was detected on imaging.
  
  
  CONCLUSIONS
  Definitive guidelines for management of this condition are uncertain; however, successful use of conservative management, lumbar drainage, and surgical evacuation has been reported. This patient underwent a lumbar laminectomy with evacuation of the hematoma, resulting in immediate pain relief and resolution of symptoms within 1 week of the procedure.
authors.affiliation: Department of Neurosurgery, New York Medical College, Valhalla, New York, USA.
authors.forename: Jared
authors.initials: J
authors.lastname: Cooper
authors.affiliation: Department of Neurosurgery, New York Medical College, Valhalla, New York, USA. Electronic address: johnlgillickmd@gmail.com.
authors.forename: John L
authors.initials: JL
authors.lastname: Gillick
authors.affiliation: Department of Neurosurgery, New York Medical College, Valhalla, New York, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: LaBagnara
authors.affiliation: Department of Neurosurgery, New York Medical College, Valhalla, New York, USA.
authors.forename: Kaushik
authors.initials: K
authors.lastname: Das
authors.affiliation: Department of Neurosurgery, New York Medical College, Valhalla, New York, USA.
authors.forename: Virany H
authors.initials: VH
authors.lastname: Hillard
mesh_terms: D000328:Adult; D001927:Brain Diseases; D003131:Combined Modality Therapy / Q000379:methods; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods; D005260:Female; D046649:Hematoma, Subdural, Spinal / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007796:Laminectomy / Q000379:methods; D017116:Low Back Pain / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D008279:Magnetic Resonance Imaging / Q000379:methods; D011843:Radiculopathy / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D013124:Spinal Injuries / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D016896:Treatment Outcome
keywords: Hematoma; Lumbar; Spine; Subdural; Trauma