Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Spontaneous Spinal Subdural Hematoma : Treatment with Lumbar Drainage

  • Kim, Chang-Hwan (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Kim, Sang-Woo (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Chang, Chul-Hun (Department of Neurosurgery, College of Medicine, Yeungnam University) ;
  • Kim, Seong-Ho (Department of Neurosurgery, College of Medicine, Yeungnam University)
  • Published : 2005.12.28
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Abstract

We report a rare case of spontaneous spinal subdural hematoma[SSDH]. A 63-year-old man presented with radicular pain and paraparesis on both legs for several months. On magnetic resonance images, SSDH was found in lumbar region. Electrodiagnostic report showed bilateral lumbosacral polyradiculopathy, such as cauda equina syndrome. SSDH was drained with lumbar drainage at L4-5 level without direct exploration. The patient improved after drainage of the hematoma and then he was able to walk independently.

Keywords

References

  1. Egede LE, Moses H, Wang H : Spinal subdural hematoma : a rare complication of lumbar puncture. Case report and review of the literature. Md Med J 48 : 15-17, 1999
  2. Gehri R, Zanetti M, Boos N : Subacute subdural haematoma complicating lumbar microdiscectomy. J Bone Joint Surg 82B : 1042-1045, 2000
  3. Jovonen T : Widespread posttraumatic subacute haematoma-findings with spontaneous resolution. J Trauma 36 : 262-264, 1993
  4. Kim MS, Chung CK, Hur JW, Lee JW, Seong SO, Lee HW : Spinal subdural hematoma following craniotomy : case report. Surg Neurol 61 : 288-292, 2004 https://doi.org/10.1016/S0090-3019(03)00381-1
  5. Kirsch EC, Khangure MS, Holthouse D, McAuliffe W : Acute spontaneous spinal subdural haematoma : MRI features. Neuroradiology 42 : 586-590, 2000 https://doi.org/10.1007/s002340000331
  6. Langmayr JJ, Ortler M, Dessl A, Twerdy K, Aichner F, Felber S : Management of spontaneous extramedullary spinal haematomas : results in eight patients after MRI diagnosis and surgical decompression. J Neurol Neurosurg Psychiatry 59 : 442-447, 1995 https://doi.org/10.1136/jnnp.59.4.442
  7. Lee JI, Hong SC, Shin HJ : Traumatic spinal subdural haematoma : rapid resolution after repeated lumbar spinal puncture and drainage. J Trauma 40 : 654-655, 1996 https://doi.org/10.1097/00005373-199604000-00026
  8. Levy JM : Spontaneous lumbar subdural hematoma. AJNR Am J Neuroradiol 11 : 780-781, 1990
  9. Maeda M, Mochida J, Toh E, Nishimura K , Nomura T : Nonsurgical treatment of an upper thoracic spinal subdural hemorrhage. Spinal Cord 39 : 657-661, 2001 https://doi.org/10.1038/sj.sc.3101219
  10. Marx SV, Roberson DW, Coates G, Langman AW : Spinal subdural hematoma after resection of an acoustic neuroma. Otolaryngol Head Neck Surg : 540-542, 1999
  11. Mattle H, Sieb JP, Rohner M, Mumenthaler M : Nontraumatic spinal epidural and subdural hematomas. Neurology 37 : 1351-1356, 1987 https://doi.org/10.1212/WNL.37.8.1351
  12. Morandi X, Riffaud L, Chabert E, Brassier G : Acute nontraumatic spinal subdural hematomas in three patients. Spine 26 : 547-551, 2001 https://doi.org/10.1097/00007632-200112010-00022
  13. Morris SF, Poynton AR, O'Donnell T, McCormack D : Lumbosacral subdural hematoma following minor trauma. J Bone Joint Surg 86A : 1768-1771, 2004
  14. Ozkan U, Kemaloglu MS, Aydin M, Selcuki M : Widespread post-traumatic acute spinal haematoma : case report and review of the literature. Spinal Cord 40 : 304-306, 2002 https://doi.org/10.1038/sj.sc.3101258
  15. Park SH, Hyun DK, Park CO, Ha YS : Traumatic spinal subdural hematoma : value of MRI (Fat suppression technique) and spinal puncture. J Korean Neurosurg Soc 29 : 810-814, 2000
  16. Post MJ, Becerra JL, Madsen PW, Puckett W, Quencer RM, Bunge RP, et al : Acute spinal subdural hematoma : MR and CT findings with pathologic correlates. AJNR Am J Neuroradiol 15 : 1895-1905, 1994
  17. Russell NA, Benoit BG : Spinal subdural hematoma. A review. Surg Neurol 20 : 133-137, 1983 https://doi.org/10.1016/0090-3019(83)90464-0
  18. Schiller F, Neligan G, Budtz-Olsen O : Surgery in hemophilia : a case of spinal subdural haematoma producing paraplegia. Lancet 27 : 842-845, 1948
  19. Shimada Y, Sato K, Abe E, Miyakoshi N, Tsutsumi Y : Spinal subdural hematoma. Skeletal Radio 25 : 477-480, 1996 https://doi.org/10.1007/s002560050118
  20. Spanu G, Berlanda P, Rodriguez Y, Baena R : Spinal subdural haematoma : a rare complication after lumbar puncture. Case report and review of the literature. Neurochirurgia(Stuttg) : 157-159, 1988
  21. Swann KW, Ropper AH, New PF, Poletti CE : Spontaneous spinal subarachnoid hemorrhage and subdural haematoma. Report of two cases. J Neurosurg 61 : 975-980, 1984 https://doi.org/10.3171/jns.1984.61.5.0975
  22. Zilkha A , Nicoletti JM : Acute spinal subdural hematoma. J Neurosurg 41 : 627-630, 1974 https://doi.org/10.3171/jns.1974.41.5.0627