Journal of Korean Neurosurgical Society

  • 제58권4호
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  • Pages.397-400
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  • 2015
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Spinal Subdural Hematoma Associated with Intracranial Subdural Hematoma

  • Kim, Myoung Soo (Department of Neurosurgery, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Sim, Sook Young (Department of Neurosurgery, Seoul Paik Hospital, Inje University College of Medicine)
  • 투고 : 2014.03.19
  • 심사 : 2014.08.13
  • 발행 : 2015.10.28
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초록

The simultaneous occurrence of an intracranial and a spinal subdural hematoma (SDH) is rare. We describe a case of cranial SDH with a simultaneous spinal SDH. An 82-year-old woman visited the emergency room because of drowsiness and not being able to walk 6 weeks after falling down. A neurological examination showed a drowsy mentality. Brain computed tomography showed bilateral chronic SDH with an acute component. The patient underwent an emergency burr-hole trephination and hematoma removal. She exhibited good recovery after the operation. On the fourth postoperative day, she complained of low-back pain radiating to both lower limbs, and subjective weakness of the lower limbs. Spine magnetic resonance imaging revealed a thoracolumbosacral SDH. A follow-up spinal magnetic resonance imaging study that was performed 16 days later showed a significant decrease in the size of the spinal SDH. We discuss the pathogenesis of this simultaneous occurrence of spinal and cranial SDH.

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참고문헌

  1. 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
  2. Chen HJ, Liang CL, Lu K, Liliang PC, Tsai YD : Cauda equina syndrome caused by delayed traumatic spinal subdural haematoma. Injury 32 : 505-507, 2001 https://doi.org/10.1016/S0020-1383(01)00046-8
  3. Cho DC, Sung JK : Traumatic subacute spinal subdural hematoma successfully treated with lumbar drainage : case report. J Spinal Disord Tech 22 : 73-76, 2009 https://doi.org/10.1097/BSD.0b013e31816d6546
  4. Cohen JE, Eger K, Montero A, Israel Z : Rapid spontaneous resolution of acute subdural hematoma and HIV related cerebral atrophy : case report. Surg Neurol 50 : 241-244, 1998 https://doi.org/10.1016/S0090-3019(97)00026-8
  5. Hagihara N, Abe T, Kojima K, Watanabe M, Tabuchi K : Coexistence of cranial and spinal subdural hematomas : case report. Neurol Med Chir (Tokyo) 50 : 333-335, 2010 https://doi.org/10.2176/nmc.50.333
  6. Hausmann O, Kirsch E, Radu E, Mindermann TH, Gratzl O : Coagulopathy induced spinal intradural extramedullary haematoma : report of three cases and review of the literature. Acta Neurochir (Wien) 143 : 135-140, 2001 https://doi.org/10.1007/s007010170118
  7. Lee JI, Hong SC : Spinal subdural haematoma as a complication of cranial surgery. Acta Neurochir (Wien) 145 : 411-414; discussion 414-415, 2003
  8. Lee TH, Su TM, Wang KW, Lee HL, Ho JT : Lumbosacral spinal subdural hematoma following burr hole craniotomy : case report and literature review. Clin Neurol Neurosurg 109 : 282-286, 2007 https://doi.org/10.1016/j.clineuro.2006.11.004
  9. Masdeu JC, Breuer AC, Schoene WC : Spinal subarachnoid hematomas : clue to a source of bleeding in traumatic lumbar puncture. Neurology 29 : 872-876, 1979 https://doi.org/10.1212/WNL.29.6.872
  10. Miller DR, Ray A, Hourihan MD : Spinal subdural haematoma : how relevant is the INR? Spinal Cord 42 : 477-480, 2004 https://doi.org/10.1038/sj.sc.3101591
  11. Morishige M, Abe T, Ishii K, Fujiki M, Kobayashi H, Karashima A, et al. : Spontaneous chronic head and spinal subdural haematoma. Acta Neurochir (Wien) 149 : 1081-1082; discussion 1082, 2007 https://doi.org/10.1007/s00701-007-1256-4
  12. Moscovici S, Paldor I, Ramirez de-Noriega F, Itshayek E, Shoshan Y, Spektor S, et al. : Do cranial subdural hematomas migrate to the lumbar spine? J Clin Neurosci 18 : 563-565, 2011 https://doi.org/10.1016/j.jocn.2010.07.116
  13. Moussallem CD, El-Yahchouchi CA, Charbel AC, Nohra G : Late spinal subdural haematoma after spinal anaesthesia for total hip replacement. J Bone Joint Surg Br 91 : 1531-1532, 2009 https://doi.org/10.2106/JBJS.H.00461
  14. Rader JP : Chronic subdural hematoma of the spinal cord : report of a case. N Engl J Med 253 : 374-376, 1955 https://doi.org/10.1056/NEJM195509012530906
  15. Riley CA, Spiegel JE : Complications following large-volume epidural blood patches for postdural puncture headache. Lumbar subdural hematoma and arachnoiditis : initial cause or final effect? J Clin Anesth 21 : 355-359, 2009 https://doi.org/10.1016/j.jclinane.2008.08.028
  16. Sanchez-Menoyo JL, Ruiz-Ojeda J, Martinez-Arroyo A, Garcia-Monco JC, Aduna-De Paz M, Vicente-Olabarria I : [Spinal cord hemorrhage complicating diagnostic lumbar puncture]. Rev Neurol 48 : 418-420, 2009
  17. Singh DK, Chauhan M, Gupta V, Chopra S, Bagaria HR : Spinal subdural hematoma : a rare complication of spinal anesthesia : a case report. Turk Neurosurg 18 : 324-326, 2008
  18. Tsui EY, Fai Ma K, Cheung YK, Chan JH, Yuen MK : Rapid spontaneous resolution and redistribution of acute subdural hematoma in a patient with chronic alcoholism : a case report. Eur J Radiol 36 : 53-57, 2000 https://doi.org/10.1016/S0720-048X(99)00167-9
  19. Yamaguchi S, Kurisu K, Arita K, Takeda M, Tani I, Araki O : Simultaneous cranial and spinal subdural hematoma. Neurol Med Chir (Tokyo) 45 : 645-649, 2005 https://doi.org/10.2176/nmc.45.645

피인용 문헌

  1. Concomitant Intracranial and Lumbar Chronic Subdural Hematoma Treated by Fluoroscopic Guided Lumbar Puncture: A Case Report and Literature Review vol.58, pp.4, 2015, https://doi.org/10.2176/nmc.cr.2017-0177
  2. Spontaneous Intracranial and Spinal Subdural Hematoma: A Case Report vol.15, pp.2, 2015, https://doi.org/10.13004/kjnt.2019.15.e20