• World Neurosurg · Nov 2016

    Case Reports

    Lumbosacral subdural hematoma and concomitant acute lower extremity monoparesis following intracranial aneurysmal subarachnoid hemorrhage.

    • Dae Han Choi, Myeong Jin Kim, Chan Jong Yoo, and Cheol Wan Park.
    • Department of Neurosurgery, Gachon University Gil Medical Center, Incheon, Korea.
    • World Neurosurg. 2016 Nov 1; 95: 616.e15-616.e19.

    BackgroundSpinal subdural hematoma (SDH) secondary to intracranial aneurysmal subarachnoid hemorrhage (SAH) occurs rarely and can cause neurologic deficits.Case DescriptionA 52-year-old man was diagnosed with SAH caused by rupture of an anterior communicating artery aneurysm. The aneurysm was treated by coil embolization on the day of admission. After embolization, the patient's left lower extremity strength had decreased and a spinal magnetic resonance imaging showed subarachnoid hematoma and SDH with severe thecal sac compression at L4-S2. On postbleed day 6, L4-S1 laminectomy was performed, and the strength in all muscle of the left leg improved.ConclusionsRupture of an intracranial aneurysm may cause symptomatic SDH in the lumbosacral spine as well as subarachnoid hematoma.Copyright © 2016 Elsevier Inc. All rights reserved.

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