Journal of Korean Neurosurgical Society

  • 제56권3호
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  • Pages.269-271
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  • 2014
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Acute Spontaneous Spinal Subdural Hematoma with Vague Symptoms

  • Chung, Jaehwan (Department of Neurosurgery, Gyeongsang National University School of Medicine) ;
  • Park, In Sung (Department of Neurosurgery, Gyeongsang National University School of Medicine) ;
  • Hwang, Soo-Hyun (Department of Neurosurgery, Gyeongsang National University School of Medicine) ;
  • Han, Jong-Woo (Department of Neurosurgery, Gyeongsang National University School of Medicine)
  • 투고 : 2014.06.01
  • 심사 : 2014.09.18
  • 발행 : 2014.09.28
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초록

Spinal subdural hematoma is a rarely reported disease and spontaneous spinal subdural hematomas (SSDH) without underlying pathological changes are even rarer. The patients usually show typical symtoms such as back pain, quadriplegia, paraplegia or sensory change. But rarely, patients may show atypical symptoms such as hemiparesis and misdiagnosed to cerebrovascular accident. We recently experienced a case of SSDH, where the patient initially showed vague symptoms, such as the sudden onset of headache which we initially misdiagnosed as subarachnoid hemorrhage. In this case, the headache of patient improved but the neck pain persisted until hospital day 5. Therefre, we conducted the MRI of cervical spine and finally confirmed SSDH. The patient was managed conservatively and improved without recurrence. In this case report, we discuss the clinical features of SSDH with emphasis on the importance of an early diagnosis.

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참고문헌

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피인용 문헌

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  3. Nontraumatic spinal subdural hematoma complicating direct factor Xa inhibitor treatment (rivaroxaban): a challenging management vol.25, pp.suppl1, 2014, https://doi.org/10.1007/s00586-015-4160-2
  4. 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
  5. Idiopathic cervical spinal subdural haematoma: a case report and literature review vol.47, pp.3, 2014, https://doi.org/10.1177/0300060519829666
  6. 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
  7. Spontaneous Spinal Subdural Hematoma Mimicking Myocardial Infarction vol.12, pp.7, 2020, https://doi.org/10.7759/cureus.9486
  8. Delayed diagnosis of spinal subarachnoid hemorrhage in association with warfarin administration: a case report and literature review vol.48, pp.10, 2014, https://doi.org/10.1177/0300060520961683