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Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2023, Number 4

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Cir Columna 2023; 1 (4)

Migration of intracranial hemorrhage to the cervical spinal subdural space. Case report

Villanueva MJU, Pelayo SME, Herrera AG, Rodríguez MAF

Language: Spanish
References: 20
Page: 244-251
PDF size: 345.99 Kb.


ABSTRACT

Introduction: spinal subdural hemorrhage is rare and potentially devastating. It occurs most frequently in lumbar puncture, spinal anesthesia, therapeutic anticoagulation and coagulation disorders, and spinal tumors or vascular malformations. Case presentation: we describe a case of a 17-year-old man with intracranial and cervicothoracic hemorrhage secondary to acute trauma with neurological deficit in whom surgical treatment had a good outcome. Conclusions: It has been shown that surgical intervention, as in all acute spinal cord compression, surgical treatment must be rapid above all and is associated with neurological deterioration (motor or sensory). An expectant management is possible if early neurological recovery occurs in the context of a good neurological examination on admission with MRI follow-up.


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