Acute  events identified in medical complaints

Guy Gilbert Broc-Haro; Francisco Rodríguez-Valencia; Salvador Manrique-Guzmán

2008, Number 2

<< Back Next >>

Cir Cir 2008; 76 (2)

Acute events identified in medical complaints

Broc-Haro GG, Rodríguez-Valencia F, Manrique-Guzmán S

Full text

How to cite this article

Language: Spanish
References: 15
Page: 161-164
PDF size: 144.75 Kb.

ABSTRACT

Background: Acute spontaneous spinal subdural hematoma associated with subacute cranial subdural hematoma is a rare entity. There is not a precise age of presentation, with a tendency in females. Origin is primary or secondary to hematologic factors, vascular and iatrogenic procedures. The main symptom is motor deficit in 57% of the cases. Surgical treatment is confined with only neurological deficits.
Clinical case: We present the case of a 44-year-old male with severe headache and diagnosis of a subacute frontoparieto- temporal subdural hematoma and signs of lumbar radiculopathy. Prognosis is proportional to the initial neurologic deficit.
Conclusion: We concluded that patients with cranial subdural hematoma who develop neurological symptoms in the lower extremities should have an MRI study to rule out spinal subdural hematoma.

REFERENCES

1. Thiex R, Thron A, Gilsbach J, Rohde V. Functional outcome after surgical treatment of spontaneous and nonspontaneous spinal subdural hematomas. J Neurosurg Spine 2005;3:12-16.
2. Yamaguchi S, Kurisu K, Arita K, Takeda M, Tani I, Araki M. Simultaneous cranial and spinal subdural hematoma. Neurol Med Chir 2005;45:645-649.
3. Kreppel D, Antoniadis G, Seeling W. Spinal hematoma: a literature survey with meta-analysis of 613 patients. Neurosurg Rev 2003;26:1-49.
4. Bortolotti C, Wang H, Fraser K, Lanzino G. Subacute spinal subdural hematoma alter spontaneous resolution of cranial subdural hematoma: causal relationship or coincidence? J Neurosurg (Spine 4) 2004;100:372-374.
5. Domenicucci M, Ramieri A, Ciappeta P, Delfini R. Nontraumatic acute spinal subdural hematoma. J Neurosurg (Spine 1) 1999;91:65-73.
6. Cha YH, Chi JH, Nicholas M, Barbaro NM. Spontaneous spinal subdural hematoma associated with low-molecular-weight heparin. J Neurosurg Spine 2005;2:612-613.
7. Lee JI, Hong SC. Spinal subdural hematoma as a complication of cranial surgery. Acta Neurochir 2003;145:411-414.
8. Vázquez-Barquero A, Pascual J, Quintana F, Figols J, Izquierdo JM. Cervical schwannoma presenting as a spinal subdural hematoma. Br J Neurosurg 1994;8:739-741.
9. Kalina P, Drehobl KE, Black K, Woldenberg R, Sapan M. Spinal cord compression by spontaneous spinal subdural hematoma in polycythemia vera. Postgrad Med J 1995;71:378-379.
10. Nicholas DS, Séller RO. The fine anatomy of the human spinal meninges. A light and scanning electron microscopy study. J Neurosurg 1988;69:276-282.
11. Png MA. Spontaneous lumbar subdural hematoma¾a case report. Singapore Med J 1997;38:76-78.
12. Kang HS, Cheng CK, Kim HJ. Spontaneous spinal subdural hematoma with spontaneous resolution. Spinal Cord 2000;38:192-196.
13. Kulkarni AV, Willinsky RA, Gray T, Cusimano MD. Serial magnetic resonance imaging findings for a spontaneously resolving spinal subdural hematoma: case report. Neurosurgery 1998;42:398-400.
14. Boukobza M, Haddar D, Boissonet M, Merland JJ. Spinal subdural hematoma: a study of three cases. Clin Radiol 2001;56:475-480.
15. Kirsch EC, Khangure MS, Holthouse D, McAuliffe W. Acute spontaneous spinal subdural hematoma: MRI features. Neuroradiology 2000;42:586-590.