title: Traumatic Spinal Subdural Hematoma with Intracranial Subdural Hematoma.
abstract: Traumatic spinal subdural hematoma associated with intracranial subdural hematoma is a rare condition. Herein, we report the case of a 62-year-old man with lower back pain, radiating pain, and numbness in both lower extremities, without motor weakness, for 2 weeks. Lumbar magnetic resonance imaging (MRI) revealed high signal intensity on T1-weighted image (WI), and low signal intensity on T2-WI from L2 to L5. Two weeks after conservative management, follow-up lumbar MRI did not show the hematoma and his symptoms were relieved and there was no neurological deficit; therefore, he was discharged. However, subsequently, intracranial subdural hematoma increased and upper extremity motor weakness appeared. This was treated surgically. If there is no neurological deficit, conservative treatment may be a good option. Follow-up evaluation for asymptomatic cranial subdural hematoma is necessary.
authors.affiliation: Department of Neurosurgery, VHS Medical Center, Seoul, Korea.
authors.forename: Hyun Gon
authors.initials: HG
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, VHS Medical Center, Seoul, Korea.
authors.forename: Tae Wan
authors.initials: TW
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, VHS Medical Center, Seoul, Korea.
authors.forename: Kwan Ho
authors.initials: KH
authors.lastname: Park
authors.affiliation: Department of Neurosurgery, VHS Medical Center, Seoul, Korea.
authors.forename: Moon Pyo
authors.initials: MP
authors.lastname: Chi
keywords: Hematoma subdural intracranial; Hematoma subdural spinal; Injuries; Spinal cord injuries