Abstract
The etiopathogenesis of traumatic spinal subdural hematoma (SSH) is uncertain. Unlike the supratentorial subdural space, no bridging veins traverse the spinal subdural space. The authors describe a case of subacute SSH that occurred after spontaneous resolution of traumatic intracranial SDH and suggest a causal relationship between the two. A 23-year-old woman suffered an acute intracranial SDH after a snowboarding accident. There was no clinical or radiological evidence of spine injury. Conservative management of the supratentorial SDH resulted in spontaneous radiologically documented resolution with redistribution of blood in the subdural space. Four days after the injury, the patient started noticing new onset of mild low-back pain. The pain progressively worsened. Magnetic resonance imaging of the lumbosacral spine 10 days after the original injury revealed a large L4-S2 SDH. Ten days after the original injury, bilateral L5-S1 laminotomy and drainage of the subacute spinal SDH were performed. The patient experienced immediate pain relief. The authors hypothesize that in some cases spinal SDH may be related to redistribution of blood from the supratentorial subdural space.
| Original language | English |
|---|---|
| Pages (from-to) | 372-374 |
| Number of pages | 3 |
| Journal | Journal of Neurosurgery |
| Volume | 100 |
| Issue number | 4 SUPPL. |
| Publication status | Published - Apr 2004 |
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Keywords
- Intracranial subdural hematoma
- Spinal subdural hematoma
- Trauma
ASJC Scopus subject areas
- Clinical Neurology
- Neuroscience(all)
Cite this
Subacute spinal subdural hematoma after spontaneous resolution of cranial subdural hematoma : Causal relationship or coincidence? Case report. / Bortolotti, Carlo; Wang, Huan; Fraser, Kennet; Lanzino, Giuseppe.
In: Journal of Neurosurgery, Vol. 100, No. 4 SUPPL., 04.2004, p. 372-374.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Subacute spinal subdural hematoma after spontaneous resolution of cranial subdural hematoma
T2 - Causal relationship or coincidence? Case report
AU - Bortolotti, Carlo
AU - Wang, Huan
AU - Fraser, Kennet
AU - Lanzino, Giuseppe
PY - 2004/4
Y1 - 2004/4
N2 - The etiopathogenesis of traumatic spinal subdural hematoma (SSH) is uncertain. Unlike the supratentorial subdural space, no bridging veins traverse the spinal subdural space. The authors describe a case of subacute SSH that occurred after spontaneous resolution of traumatic intracranial SDH and suggest a causal relationship between the two. A 23-year-old woman suffered an acute intracranial SDH after a snowboarding accident. There was no clinical or radiological evidence of spine injury. Conservative management of the supratentorial SDH resulted in spontaneous radiologically documented resolution with redistribution of blood in the subdural space. Four days after the injury, the patient started noticing new onset of mild low-back pain. The pain progressively worsened. Magnetic resonance imaging of the lumbosacral spine 10 days after the original injury revealed a large L4-S2 SDH. Ten days after the original injury, bilateral L5-S1 laminotomy and drainage of the subacute spinal SDH were performed. The patient experienced immediate pain relief. The authors hypothesize that in some cases spinal SDH may be related to redistribution of blood from the supratentorial subdural space.
AB - The etiopathogenesis of traumatic spinal subdural hematoma (SSH) is uncertain. Unlike the supratentorial subdural space, no bridging veins traverse the spinal subdural space. The authors describe a case of subacute SSH that occurred after spontaneous resolution of traumatic intracranial SDH and suggest a causal relationship between the two. A 23-year-old woman suffered an acute intracranial SDH after a snowboarding accident. There was no clinical or radiological evidence of spine injury. Conservative management of the supratentorial SDH resulted in spontaneous radiologically documented resolution with redistribution of blood in the subdural space. Four days after the injury, the patient started noticing new onset of mild low-back pain. The pain progressively worsened. Magnetic resonance imaging of the lumbosacral spine 10 days after the original injury revealed a large L4-S2 SDH. Ten days after the original injury, bilateral L5-S1 laminotomy and drainage of the subacute spinal SDH were performed. The patient experienced immediate pain relief. The authors hypothesize that in some cases spinal SDH may be related to redistribution of blood from the supratentorial subdural space.
KW - Intracranial subdural hematoma
KW - Spinal subdural hematoma
KW - Trauma
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UR - http://www.scopus.com/inward/citedby.url?scp=1642410787&partnerID=8YFLogxK
M3 - Article
C2 - 15070147
AN - SCOPUS:1642410787
VL - 100
SP - 372
EP - 374
JO - Journal of Neurosurgery
JF - Journal of Neurosurgery
SN - 0022-3085
IS - 4 SUPPL.
ER -