• Neurosurgery · Nov 1979

    Case Reports

    Spinal subdural hematoma: case report and review of the literature.

    • M Guthikonda, H H Schmidek, L J Wallman, and T M Snyder.
    • Neurosurgery. 1979 Nov 1; 5 (5): 614-6.

    AbstractA case of lumbar spinal subdural hematoma in a patient who had been on anticoagulant therapy is reported. Thus far 19 cases of spinal subdural hematoma have been reported in the literature, the majority in patients with a bleeding diathesis and after a lumbar puncture. Our case is the third reported to be in association with anticoagulant therapy. The hematoma was lumbosacral, in contrast to the usual location in the dorsal-lumbar area. A possible mechanism for the production of spinal subdural hematoma after a lumbar puncture is discussed. An early decompressive laminectomy and evacuation of the hematoma is the recommended treatment to obtain the best possible recovery of neurological function. (Neurosurgery, 5: 614--616, 1979).

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