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Spontaneous spinal subdural hematoma of the lumbar spine mimicking spinal stenosis

Year 2015, Volume: 7 Issue: 2, 1 - 3, 01.08.2015

Abstract

Spontaneous spinal subdural hematoma SSSH is an extremely rare and usually occurs spontaneously in part due to trauma or hematologic changes. The outcomes may lead to spinal cord compression and cause serious neurological damage. Therefore, urgent and accurate diagnosis with subsequent treatment are important in order to prevent surgical mortality and morbidity. In the present case, anticoagulant therapy or history of trauma which might cause SSSH were not present, the patient had only lumbar spinal stenosis LSS . Despite medical treatment, neurological condition deteriorated progressively. Decompressive surgery after 72 hours improved the clinical condition.

References

  • Gilad R, Fatterpekar GM, Johnson DM, Patel AB. Migrating subdural hematoma without subarachnoid hemorrhage in the case of a pa- tient with a ruptured aneurysm in the intrasell- ar anterior communicating artery. AJNR Am J Neuroradiol 2007; 28: 10.
  • Maeda M, Mochida J, Toh E, Nishimura K, Nomura T. Nonsurgical treatment of an upper thoracic spinal subdural hemorrhage. Spinal Cord 2001;39: 657- 661.
  • Hsieh CF, Lin HJ, Chen KT, Foo NP, et al. Acute spontaneous cervical spinal epidural hemat- oma with hemiparesis as the initial presenta- tion. Eur J Emerg Med 2006;13: 36-38.
  • Küker W, Thiex R, Friese S, et al. Spinal subdur- al and epidural haematomas diagnostic and therapeutic aspects in acute and subacute cas- es. Acta Neurochir (Wien) 2000;14: 777-785.
  • Phookan G, Lehman RA, Kuhlengel KR. Cervical spinal epidural haematoma the double jeop- ardy. Ann Med 1996; 28: 407- 411.
  • Schiller F, Neligan G, Budtz-Olsen O. Surgery in haemophilia a case of spinal subdural haematoma producing paraplegia. Lancet 1948;2(6535):842-845.
  • Chung TT, Hsieh CT, Liu MY, Ju DT. Spontane- ous spinal subdural heımatoma a rare case report and review of the literature. J Med Sci 2011; 3: 181-183.
  • Bruce-Brand RA, Colleran GC, Broderick JM, Lui DF, Smith EM, Kavanagh EC, et al. Acute nontraumatic spinal intradural hematoma in a patient on warfarin. J Emerg Med 2013; 45: 695-697.
  • Domenicucci M, Ramieri A, Ciappetta P, Delfini R. Nontraumatic acute spinal subdural hemat- oma report of five cases and review of the literature. J Neurosurg 1999; 91: 65-73.
  • Oh SH, Han IB, Koo YH, Kim OJ. Acute spinal subdural hematoma presenting with sponta- neously resolving hemiplegia. J Korean Neu- roısurg Soc 2009;45: 390-393.
  • Kyriakides AE, Lalam RK, El Masry WS. Acute spontaneous spinal subdural hematoma pre- senting as paraplegia: a rare case. Spine 2007; 32(21): 619-622.
  • Chau SY, Tiu SC. Spinal subdural hematoma. a rare complication of low molecular-weight heparin therapy. Hong Kong Med J 2008;14(1): 64-66.
  • Badaoui R, El Kettani C, Koukougnon M, Ouen- do M, Rekik R, Tchaoussoff J. Spontaneous spinal hemorrhage complicating anticoagulant therapy. Can J Anesth. 2003;50(7):750-751.
  • Na-rae Yang, M.D, Sang Jin Kim, M.D, Yong Jae Cho, M.D, Do Sang Cho, M.D. Spontane- ous Resolution of Nontraumatic Acute Spinal Subdural Hematoma J Korean Neurosurg Soc. 2011;50 (3):268-270.
  • J Korean Neurosurg Soc 2011; 50: 268-270.
  • Morandi X, Riffaud L, Chabert E, Brassier G. Acute nontraumatic spinal subdural he- matomas in three patients. Spine 2001; 1:26(23):E547-551.

Lomber bölgenin spinal stenozu taklit eden spontan subdural hematomu

Year 2015, Volume: 7 Issue: 2, 1 - 3, 01.08.2015

Abstract

Spontan spinal subdural hematom SSSH oldukça nadir görülen bir durumdur ve genellikle travma ya da hematolojik değişiklikler nedeniyle kısmen de spontan oluşabilir. Spinal kord basısına yol açması sonucu ciddi nörolojik hasarlara neden olabilirler. Bu yüzden hızlı ve doğru teşhis ve hemen ardından hastanın durumuna göre konservatif ya da cerrahi tedavi mortalite ve morbiditeyi etkilemesi açısından önemlidir. Burada, antikoagulan tedavi veya travma gibi SSSH'a neden olabilen bir hikayesi mevcut olmayan lomber spinal stenoz LSS hikayesi dışında bilinen bir şikayeti bulunmayan, SSSH gelişen ancak, medikal tedaviye rağmen nörolojik durumu kötüleşen ve 72 saat sonra yapılan dekompresif cerrahi neticesinde bulguları düzelen hastayı tartıştık.

References

  • Gilad R, Fatterpekar GM, Johnson DM, Patel AB. Migrating subdural hematoma without subarachnoid hemorrhage in the case of a pa- tient with a ruptured aneurysm in the intrasell- ar anterior communicating artery. AJNR Am J Neuroradiol 2007; 28: 10.
  • Maeda M, Mochida J, Toh E, Nishimura K, Nomura T. Nonsurgical treatment of an upper thoracic spinal subdural hemorrhage. Spinal Cord 2001;39: 657- 661.
  • Hsieh CF, Lin HJ, Chen KT, Foo NP, et al. Acute spontaneous cervical spinal epidural hemat- oma with hemiparesis as the initial presenta- tion. Eur J Emerg Med 2006;13: 36-38.
  • Küker W, Thiex R, Friese S, et al. Spinal subdur- al and epidural haematomas diagnostic and therapeutic aspects in acute and subacute cas- es. Acta Neurochir (Wien) 2000;14: 777-785.
  • Phookan G, Lehman RA, Kuhlengel KR. Cervical spinal epidural haematoma the double jeop- ardy. Ann Med 1996; 28: 407- 411.
  • Schiller F, Neligan G, Budtz-Olsen O. Surgery in haemophilia a case of spinal subdural haematoma producing paraplegia. Lancet 1948;2(6535):842-845.
  • Chung TT, Hsieh CT, Liu MY, Ju DT. Spontane- ous spinal subdural heımatoma a rare case report and review of the literature. J Med Sci 2011; 3: 181-183.
  • Bruce-Brand RA, Colleran GC, Broderick JM, Lui DF, Smith EM, Kavanagh EC, et al. Acute nontraumatic spinal intradural hematoma in a patient on warfarin. J Emerg Med 2013; 45: 695-697.
  • Domenicucci M, Ramieri A, Ciappetta P, Delfini R. Nontraumatic acute spinal subdural hemat- oma report of five cases and review of the literature. J Neurosurg 1999; 91: 65-73.
  • Oh SH, Han IB, Koo YH, Kim OJ. Acute spinal subdural hematoma presenting with sponta- neously resolving hemiplegia. J Korean Neu- roısurg Soc 2009;45: 390-393.
  • Kyriakides AE, Lalam RK, El Masry WS. Acute spontaneous spinal subdural hematoma pre- senting as paraplegia: a rare case. Spine 2007; 32(21): 619-622.
  • Chau SY, Tiu SC. Spinal subdural hematoma. a rare complication of low molecular-weight heparin therapy. Hong Kong Med J 2008;14(1): 64-66.
  • Badaoui R, El Kettani C, Koukougnon M, Ouen- do M, Rekik R, Tchaoussoff J. Spontaneous spinal hemorrhage complicating anticoagulant therapy. Can J Anesth. 2003;50(7):750-751.
  • Na-rae Yang, M.D, Sang Jin Kim, M.D, Yong Jae Cho, M.D, Do Sang Cho, M.D. Spontane- ous Resolution of Nontraumatic Acute Spinal Subdural Hematoma J Korean Neurosurg Soc. 2011;50 (3):268-270.
  • J Korean Neurosurg Soc 2011; 50: 268-270.
  • Morandi X, Riffaud L, Chabert E, Brassier G. Acute nontraumatic spinal subdural he- matomas in three patients. Spine 2001; 1:26(23):E547-551.
There are 16 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Bilal Kelten This is me

Aytaç Akbaş This is me

Barış Yaşar This is me

Hakan Erdoğan This is me

Alper Karaoğlan This is me

Publication Date August 1, 2015
Published in Issue Year 2015 Volume: 7 Issue: 2

Cite

Vancouver Kelten B, Akbaş A, Yaşar B, Erdoğan H, Karaoğlan A. Lomber bölgenin spinal stenozu taklit eden spontan subdural hematomu. Maltepe tıp derg. 2015;7(2):1-3.