• Korean J Neurotrauma · Oct 2014

    Traumatic Spinal Subdural Hematoma with Intracranial Subdural Hematoma.

    • Hyun Gon Kim, Tae Wan Kim, Kwan Ho Park, and Moon Pyo Chi.
    • Department of Neurosurgery, VHS Medical Center, Seoul, Korea.
    • Korean J Neurotrauma. 2014 Oct 1; 10 (2): 146-8.

    AbstractTraumatic spinal subdural hematoma associated with intracranial subdural hematoma is a rare condition. Herein, we report the case of a 62-year-old man with lower back pain, radiating pain, and numbness in both lower extremities, without motor weakness, for 2 weeks. Lumbar magnetic resonance imaging (MRI) revealed high signal intensity on T1-weighted image (WI), and low signal intensity on T2-WI from L2 to L5. Two weeks after conservative management, follow-up lumbar MRI did not show the hematoma and his symptoms were relieved and there was no neurological deficit; therefore, he was discharged. However, subsequently, intracranial subdural hematoma increased and upper extremity motor weakness appeared. This was treated surgically. If there is no neurological deficit, conservative treatment may be a good option. Follow-up evaluation for asymptomatic cranial subdural hematoma is necessary.

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