Idiopathic Spinal Subdural Hematoma: Case Report and Review of the Literature

Wang, Yongli; Zheng, Hua; Ji, Yafeng; Lü, Qian; Li, Xiongfeng; Jiang, Xuesheng

doi:10.1016/j.wneu.2018.05.155

Cited by 15 publications

(12 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous published cases of idiopathic cervical or cervicothoracic SSDH without potential causative risks are reviewed and compared in Table 1. 11,12,15,16,18–20 As observed with the current case, neck pain was the most common symptom and neurological dysfunction was relatively mild. The potential causative risks were unknown and conservative treatment was the preferred option.…”

Section: Discussionsupporting

confidence: 81%

“…9,10 In some cases, no specific factors were identified. 11 This current case is also unique because few cases have reported idiopathic SSDH that is only observed in the cervical region. 11,12 This case report describes a patient with idiopathic cervical SSDH with neck pain.…”

Section: Introductionmentioning

confidence: 78%

“…11 This current case is also unique because few cases have reported idiopathic SSDH that is only observed in the cervical region. 11,12 This case report describes a patient with idiopathic cervical SSDH with neck pain. The haematoma was spontaneously absorbed completely without any treatment within 1 week.…”

Section: Introductionmentioning

confidence: 78%

“…15,16 However, a few cases reported idiopathic SSDH without underlying pathological conditions located only in the cervical region. 11,12…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Idiopathic cervical spinal subdural haematoma: a case report and literature review

2019

View full text Add to dashboard Cite

This report describes a case of idiopathic cervical spinal subdural haematoma (SSDH) in which the haematoma was spontaneously absorbed without any treatment. A 68-year-old male patient presented with persistent neck pain and no obvious cause. Magnetic resonance imaging (MRI) revealed a space-occupying lesion at the C4–T1 levels. The lesion was initially misdiagnosed as a tumour. An operation was arranged to remove the tumour, but a preoperative computed tomography scan showed no obvious abnormal soft tissue density in the cervical spinal canal. Repeat enhanced MRI showed degeneration of the cervical vertebrae, but no obvious abnormal soft tissue density and no obvious enhanced signals in the cervical spinal canal. Spontaneous resolution of an idiopathic cervical SSDH was considered. Idiopathic cervical SSDH without obvious neurological symptoms are difficult to diagnose, so suspected cases should be carefully monitored. If the neurological symptoms grow progressively more debilitating with time, emergency surgery might need to be considered. To avoid unnecessary surgery, conservative management should be an option for patients with minimal neurological deficits and re-examination with MRI could be the best way to observe the dynamic changes taking place in the idiopathic cervical SSDH.

show abstract

Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 78%

“…15,16 However, a few cases reported idiopathic SSDH without underlying pathological conditions located only in the cervical region. 11,12…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Idiopathic cervical spinal subdural haematoma: a case report and literature review

2019

View full text Add to dashboard Cite

show abstract

“…In patients with acute neurological déficits an agresive treatment is needed, in patients with minor symptoms the medical treatment should be considered because some of the SSSH present a spontaneous resolution. [1][2][3][4][5][6][7][8][9][10][11][12]…”

Section: Discussionmentioning

confidence: 99%

Nontraumatic spontaneous spinal subdural hematoma

Guel¹,

Martìnez²,

Zapata³

2020

IPMRJ

View full text Add to dashboard Cite

We present the case of a 65 year old male that was diagnosed with a spontaneous spinal subdural hematoma (SSSH), the initial symptons were back pain and right arm numbness with a latter progression to paraplegia and. The MRI detected an SSSH. Despite the prompt diagnosis and surgical intervention the patient didnt improved has it was spected. This case reveal the fact that despite prompt diagnosis and treatment the morbidity and mortality remains high so it is imperative to have a fresh knowledge of this condition and its clinical manifestations.

show abstract

Spontaneous idiopathic spinal subdural hemorrhage in a 16‐year‐old boy: A rare case in pediatrics and review of literature

Ahrari

Jamali

Mohammadi

et al. 2023

Clinical Case Reports

View full text Add to dashboard Cite

Spontaneous subdural hematoma (SSDH) is a rare condition resulting in cord compression and is associated with significant mortality and morbidity. Spinal SDH can be secondary to anticoagulation therapy, blood dyscrasia, spinal puncture, trauma, spinal anesthesia, or vascular malformation. However, spontaneous SDH is rare, and pathophysiology is still unknown. 1 Rupture of the vasculature within the subarachnoid or subdural space has been proposed as a potential pathogenic mechanism in certain cases. While some suggest that the bleeding originates from the subarachnoid vessels with concomitant rupture into the subdural space following an increase in intra-abdominal or intra-thoracic pressure, others have proposed an alternative theory that the bleeding begins in the subdural space itself. 2 The clinical manifestations of SSDH are related to cord compression and vary from back pain to motor, sensory, and autonomic dysfunction. 3,4 The main approach for confirming the diagnosis is magnetic resonance imaging (MRI). 5 Although surgical intervention through decompression is considered as the main treatment option, percutaneous drainage or conservative therapies are also

show abstract

Idiopathic Spinal Subdural Hematoma: Case Report and Review of the Literature

Cited by 15 publications

References 31 publications

Idiopathic cervical spinal subdural haematoma: a case report and literature review

Idiopathic cervical spinal subdural haematoma: a case report and literature review

Nontraumatic spontaneous spinal subdural hematoma

Spontaneous idiopathic spinal subdural hemorrhage in a 16‐year‐old boy: A rare case in pediatrics and review of literature

Contact Info

Product

Resources

About