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http://dx.doi.org/10.3340/jkns.2015.58.4.397

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)
Publication Information
Journal of Korean Neurosurgical Society / v.58, no.4, 2015 , pp. 397-400 More about this Journal
Abstract
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.
Keywords
Brain; Spine; Trauma; Subdural hematoma;
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