Spinal Subdural Haematoma: A Study of Three Cases

Boukobza, Monique; Haddar, D.; Boissonet, M.; Merland, J. J.

doi:10.1053/crad.2000.0466

Cited by 71 publications

(60 citation statements)

References 26 publications

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“…9,10,14,15 Our patient had a dorsal hematoma, with a crescent shape, extending from T8 to T11 and a high intensity signal in T1-and T2-weighted images indicating orrhage associated with vWD. Therefore, to the best of our knowledge, this is the first report of a subdural hematoma of the thoracic spine in a patient with vWD and chronic HCV infection under the combination therapy.…”

Section: Case Reportmentioning

confidence: 72%

“…[8][9][10] It usually presents with acute back pain and signs of spinal cord and cauda equina compression. Bleeding episodes often accompany vWD, but they rarely lead to the formation of a hematoma.…”

Section: Discussionmentioning

confidence: 99%

“…10 The current literature suggests three treatment options in case of a subdural hematoma: surgical decompression, percutaneous clot drainage and conservative treatment. 9,10,14 In a previous case of a subdural hematoma in a patient with idiopathic thrombocytopenic purpura a conservative approach was preferred, because of a significant risk of bleeding. 16 Because our patient was diagnosed with vWD, a factor that could promote bleeding complications during a surgical procedure, we opted for a conservative treatment.…”

Section: Case Reportmentioning

confidence: 99%

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Spinal subdural haematoma in von Willebrand disease

Franko¹,

Antulov²,

Dunatov³

et al. 2009

Radiology and Oncology

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Background. Von Wilebrand disease (vWD) is the most common inherited disorder of hemostasis. Bleeding in patients with von Wilebrand disease is a frequently reported complaint. Patients with inherited bleeding disorders are also in a large number of cases infected with hepatitis C virus (HCV). Studies showed an increased risk factor for intracerebral hemorrhage (ICH) in patients infected with HCV receiving the combination treatment. Case report. A 44-year old man reported to our Emergency Department with low back pain, headaches, neck pain, leg weakness and urinary retention. The neurological examination showed nuchal rigidity and spastic paraparesis. Thoracic spine MRI revealed a subacute subdural haematoma at T8-T11 level. Conclusions. To the best of our knowledge, this is the first report of a subdural haematoma of the thoracic spine in a patient with vWD and chronic HCV infection. The presented patient was receiving a combination treatment, a fact that has also to be taken in consideration as a possible risk factor for a bleeding episode.

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Section: Case Reportmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

See 1 more Smart Citation

Spinal subdural haematoma in von Willebrand disease

Franko¹,

Antulov²,

Dunatov³

et al. 2009

Radiology and Oncology

View full text Add to dashboard Cite

show abstract

“…1,2 Spinal subdural hematoma usually presents with signs of compression of the spinal cord or cauda equina, often with acute onset preceded by back pain or radicular pain. 3 Such hematomas are most often located in the thoracolumbar or lumbar segment and posteriorly rather than anteriorly or circumferentially. 2,3 On computed tomography and MR imaging, it tends to demonstrate a crescent rather than biconvex shape that resembles the appearance of intracranial subdural hematoma.…”

Section: Discussionmentioning

confidence: 99%

“…3 Such hematomas are most often located in the thoracolumbar or lumbar segment and posteriorly rather than anteriorly or circumferentially. 2,3 On computed tomography and MR imaging, it tends to demonstrate a crescent rather than biconvex shape that resembles the appearance of intracranial subdural hematoma. 3 Partial or even total recovery can be expected following surgical intervention comprising clot evacuation and laminectomy in the acute phase.…”

Section: Discussionmentioning

confidence: 99%

Spinal Subdural Hematoma Mimicking Epidural Lipomatosis

2012

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We report a case of spinal subdural hematoma in the lumbar spine of a 75-year-old woman. Magnetic resonance imaging showed lesions of homogeneous high intensity in the spinal canal on both T 1 -and T 2 -weighted images,ˆndings closely resembling those for epidural lipomatosis. Identiˆcation of 2-layered signal intensity surrounding the cauda equina on axial images is the key for accurate diagnosis.

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An unusual case of ventral spontaneous thoracic epidural hematoma

Zhou

2024

Clinical Case Reports

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Key Clinical MessageSpontaneous spinal epidural hematoma (SSEH) rarely occurs. Without early diagnosis, SSEH can lead to the acute onset of neurologic deficits. We report the case of a 65‐year‐old male with diabetes mellitus who was admitted to our emergency department with a chief complaint of sharp and severe pain in the left scapula and behind the sternum. He was misdiagnosed with cardiovascular disease until the onset of progressive bilateral paraplegia and lower limb numbness. Magnetic resonance imaging revealed a ventral thoracic SSEH. Surgical treatment to remove epidural hematoma and laminectomy for decompression were performed. Except for urine retention, bilateral lower limb paraplegia and numbness were alleviated postoperatively. Due to the high risk of poor neurological outcomes without treatment or with delayed intervention, timely surgical evacuation of the hematoma and hemostasis are recommended to ensure favorable neurological outcomes.

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Spinal Subdural Haematoma: A Study of Three Cases

Cited by 71 publications

References 26 publications

Spinal subdural haematoma in von Willebrand disease

Spinal subdural haematoma in von Willebrand disease

Spinal Subdural Hematoma Mimicking Epidural Lipomatosis

An unusual case of ventral spontaneous thoracic epidural hematoma

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