A delayed-onset intracranial chronic subdural hematoma following a lumbar spinal subdural hematoma: A case report

Medicine
Takaaki UtoHiroyuki Tsuchiya

Abstract

A spinal subdural hematoma (SDH) is rarely complicated with an intracranial SDH. We found only 7 cases of spontaneous concurrent lumbar spinal and cranial SDHs, in which lumbar symptoms occurred before head symptoms. We describe a 77-year-old man with spontaneous concurrent spinal and cranial SDHs, in whom the spinal SDH was identified 30 days before the intracranial chronic SDH. Magnetic resonance imaging showed a spinal SDH at L4/L5. There was no paralysis, and the patient was managed conservatively. About 30 days after the onset of back pain, he experienced tinnitus and visual hallucination. Brain computed tomography showed a chronic SDH and midline shift. Burr-hole evacuation was performed, and the patient's condition improved. At 5 months of follow-up, there was no recurrence of the spinal or intracranial SDH. It is important to consider the possibility of intracranial hemorrhage when a spinal SDH is identified.

References

Aug 1, 1983·Surgical Neurology·N A Russell, B G Benoit
Sep 21, 2000·Neuroradiology·E C KirschW McAuliffe
Mar 28, 2002·Anesthesia and Analgesia·Miguel Angel ReinaAgustín Fernández
Jan 10, 2003·Neurosurgical Review·D KreppelW Seeling
Dec 27, 2005·Neurologia Medico-chirurgica·Satoshi YamaguchiOsamu Araki
Oct 3, 2007·Annals of Internal Medicine·Roger ChouUNKNOWN American Pain Society Low Back Pain Guidelines Panel
Mar 19, 2009·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Ming-Shiang YangChung-Wei Tu
Sep 11, 2010·British Journal of Neurosurgery·Hideki NagashimaRyota Teshima
Feb 22, 2012·Journal of Neurosciences in Rural Practice·Kj JibuK Saifudheen
Sep 18, 2013·Journal of Korean Neurosurgical Society·Wonjun MoonHaekwan Park
Feb 24, 2015·The Journal of Craniofacial Surgery·Zhenwen CuiLiuguan Bian

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.