DOI QR코드

DOI QR Code

Spontaneous Resolution of Nontraumatic Acute Spinal Subdural Hematoma

  • Yang, Na-Rae (Department of Neurosurgery, Ewha Womans University School of Medicine, Mokdong Hospital) ;
  • Kim, Sang-Jin (Department of Neurosurgery, Ewha Womans University School of Medicine, Mokdong Hospital) ;
  • Cho, Yong-Jae (Department of Neurosurgery, Ewha Womans University School of Medicine, Mokdong Hospital) ;
  • Cho, Do-Sang (Department of Neurosurgery, Ewha Womans University School of Medicine, Mokdong Hospital)
  • Received : 2011.04.06
  • Accepted : 2011.09.05
  • Published : 2011.09.28

Abstract

Spinal subdural hematoma (SSDH) is an extremely uncommon condition. Causative factors include trauma, anticoagulant drug administration, hemostatic disorders, and vascular disorders such as arteriovenous malformations and lumbar punctures. Of SSDH cases, those that do not have any traumatic event can be considered cases of nontraumatic acute spinal subdural hematoma, which is known to have diverse clinical progress. Treatment typically consists of surgical decompression and cases in which the condition is relieved with conservative treatment are rarely reported. We report two nontraumatic acute spinal subdural hematoma patients who were successfully treated without surgery.

Keywords

References

  1. Adamson DC, Bulsara K, Bronec PR : Spontaneous cervical epidural hematoma : case report and literature review. Surg Neurol 62 : 156-159; discussion 159-160, 2004 https://doi.org/10.1016/j.surneu.2003.10.040
  2. Calhoun JM, Boop F : Spontaneous spinal subdural hematoma : case report and review of the literature. Neurosurgery 29 : 133-134, 1991 https://doi.org/10.1227/00006123-199107000-00025
  3. Domenicucci M, Ramieri A, Ciappetta P, Delfini R : Nontraumatic acute spinal subdural hematoma : report of five cases and review of the literature. J Neurosurg 91 : 65-73, 1999
  4. Gilad R, Fatterpekar GM, Johnson DM, Patel AB : Migrating subdural hematoma without subarachnoid hemorrhage in the case of a patient with a ruptured aneurysm in the intrasellar anterior communicating artery. AJNR Am J Neuroradiol 28 : 2014-2016, 2007 https://doi.org/10.3174/ajnr.A0726
  5. Hentschel SJ, Woolfenden AR, Fairholm DJ : Resolution of spontaneous spinal epidural hematoma without surgery : report of two cases. Spine (Phila Pa 1976) 26 : E525-E527, 2001 https://doi.org/10.1097/00007632-200111150-00025
  6. Kang HS, Chung CK, Kim HJ : Spontaneous spinal subdural hematoma with spontaneous resolution. Spinal Cord 38 : 192-196, 2000 https://doi.org/10.1038/sj.sc.3100967
  7. Kirsch EC, Khangure MS, Holthouse D, McAuliffe W : Acute spontaneous spinal subdural haematoma : MRI features. Neuroradiology 42 : 586-590, 2000
  8. Kulkarni AV, Willinsky RA, Gray T, Cusimano MD : Serial magnetic resonance imaging findings for a spontaneously resolving spinal subdural hematoma : case report. Neurosurgery 42 : 398-400; discussion 400-401, 1998 https://doi.org/10.1097/00006123-199802000-00125
  9. Kyriakides AE, Lalam RK, El Masry WS : Acute spontaneous spinal subdural hematoma presenting as paraplegia : a rare case. Spine (Phila Pa 1976) 32 : E619-E622, 2007 https://doi.org/10.1097/BRS.0b013e318154c618
  10. 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
  11. 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
  12. Oh SH, Han IB, Koo YH, Kim OJ : Acute spinal subdural hematoma presenting with spontaneously resolving hemiplegia. J Korean Neurosurg Soc 45 : 390-393, 2009 https://doi.org/10.3340/jkns.2009.45.6.390
  13. Ross JF, Brant-Zawadzki M, Moore KR, Chen MZ : Diagnostic Imaging : Spine, Elsevier Health Sciences, 2004, pp38-41
  14. 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
  15. Yang MS, Tung YW, Yang TH, Chai JW, Chen CC, Chan SW, et al. : Spontaneous spinal and intracranial subdural hematoma. J Formos Med Assoc 108 : 258-261, 2009 https://doi.org/10.1016/S0929-6646(09)60061-9

Cited by

  1. Case of the disappearing subdural hygromas in a pediatric patient with acute lymphocytic leukemia : Case report vol.10, pp.5, 2012, https://doi.org/10.3171/2012.7.peds12105
  2. Migration of traumatic intracranial subdural hematoma to lumbar spine causing radiculopathy vol.4, pp.None, 2013, https://doi.org/10.4103/2152-7806.113647
  3. Prospective assessment of concomitant lumbar and chronic subdural hematoma: is migration from the intracranial space involved in their manifestation? : Clinical article vol.20, pp.2, 2011, https://doi.org/10.3171/2013.10.spine13346
  4. Acute Spontaneous Spinal Subdural Hematoma with Vague Symptoms vol.56, pp.3, 2011, https://doi.org/10.3340/jkns.2014.56.3.269
  5. Atraumatic acute spinal subdural hematoma and oral anticoagulation therapy vol.25, pp.6, 2011, https://doi.org/10.1097/bco.0000000000000165
  6. Rivaroxaban-Induced Nontraumatic Spinal Subdural Hematoma: An Uncommon Yet Life-Threatening Complication vol.2015, pp.None, 2011, https://doi.org/10.1155/2015/275380
  7. Spontaneous thoracic ventral spinal subdural hematoma mimicking a tumoral lesion: a case report vol.9, pp.1, 2015, https://doi.org/10.1186/s13256-015-0562-3
  8. Idiopathic Spontaneous Spinal Subdural Hematoma Causing Transient Paraparesis: Case Report With a Review of the Literature vol.25, pp.4, 2015, https://doi.org/10.1097/wnq.0000000000000092
  9. Syringomyelia following surgery for a spontaneous spinal subdural hematoma in a 13-year-old girl with congenital von Willebrand disease: case report and literature review vol.32, pp.4, 2011, https://doi.org/10.1007/s00381-015-2875-3
  10. Acute, Nontraumatic Spontaneous Spinal Subdural Hematoma: A Case Report and Systematic Review of the Literature vol.2017, pp.None, 2017, https://doi.org/10.1155/2017/2431041
  11. Neuraxial blocks and spinal haematoma: Review of 166 cases published 1994 - 2015. Part 2: diagnosis, treatment, and outcome vol.15, pp.1, 2011, https://doi.org/10.1016/j.sjpain.2016.11.009
  12. Surgical treatment of progressive cauda equina compression caused by spontaneous spinal subdural hematoma : A case report vol.98, pp.12, 2019, https://doi.org/10.1097/md.0000000000014598
  13. Idiopathic cervical spinal subdural haematoma: a case report and literature review vol.47, pp.3, 2011, https://doi.org/10.1177/0300060519829666
  14. Unusual localization of bleeding under acenocoumarol: Spinal subdural hematoma vol.59, pp.None, 2011, https://doi.org/10.1016/j.ijscr.2019.04.053
  15. Acute idiopathic spinal subdural hematoma: What to do in an emergency? vol.65, pp.2, 2019, https://doi.org/10.1016/j.neuchi.2018.10.009