Spontaneous spinal subdural hematoma with spontaneous resolution

Hs, Kang; Chung, Chun Kee; Kim, Hyung Jun

doi:10.1038/sj.sc.3100967

Cited by 47 publications

(23 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…First, initial hemorrhage in the subarachnoid space is the primary lesion that eventually dissects into the subdural space, and the subarachnoid hemorrhage is washed out by the cerebrospinal flow through the transitional state, 6,7,9,16,17) as supported by observations of the transitional state of combined subarachnoid hem-Spontaneous Remission of a Spontaneous SCSDH orrhage and subdural hematoma. 2,7) Second, spinal subdural hematoma might be related to the redistribution of blood from the intracranial subdural space, and expansion may be secondary to chronic changes, 1) supported by a possible association between SCSDH and intracranial chronic subdural hematoma.…”

Section: Discussionmentioning

confidence: 93%

Rapid Spontaneous Remission of a Spontaneous Spinal Chronic Subdural Hematoma in a Child -Case Report-

Park

Cho

Lee

et al. 2008

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

A 13-year-old boy presented with a rare spontaneous spinal chronic subdural hematoma (SCSDH) with no associated trauma or medical problems manifesting as back and bilateral lower extremity pain persisting for 10 days. Neurological examination revealed mild weakness and paresthesia in both lower extremities. Magnetic resonance (MR) imaging performed 1 week after the appearance of symptoms revealed a chronic subdural hematoma at the thoracolumbosacral region. Follow-up MR imaging performed 1 week later showed significant resolution of the hematoma without the need for surgery. The patient was discharged with only conservative management. This case of spontaneous SCSDH with rapid spontaneous remission in a child not associated with coagulopathy indicates that aggressive surgical treatment should be delayed as long as possible in pediatric patients because the spinal structure is still developing.

show abstract

Section: Discussionmentioning

confidence: 93%

Rapid Spontaneous Remission of a Spontaneous Spinal Chronic Subdural Hematoma in a Child -Case Report-

Park

Cho

Lee

et al. 2008

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

show abstract

“…Many authors continue to support this theory in cases of simultaneous SSH and SAH. 7,11,21) One theory has been proposed to account for the dynamics of bleeding. 19) Sudden and sharp increases in abdominal and thoracic pressures are transmitted intravascularly along the lateral spinal arteries and veins through the intervertebral foramens to the intraspinal segments of the vessels.…”

Section: Discussionmentioning

confidence: 99%

“…Recent reports have pointed out the possibility of spontaneous resolution of the SSH. 2,6,7,9,11,13,15,17) Conservative treatment can be recommended for patients with stable neurological status.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lumbosacral Subdural Hematoma-Case Report-

Mashiko

Noguchi

Uemura³

et al. 2006

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

An 18-year-old man presented with a rare spinal subdural hematoma (SSH) manifesting as headache, which developed following diving into the sea the day before. Computed tomography of the head revealed no abnormality. His headache persisted followed by neck stiffness and mild lumbago. He came to see us 6 days after the first visit. He underwent lumbar puncture to eliminate the possibility of meningitis. The cerebrospinal fluid showed xanthochromia. Cerebral angiography showed no abnormality. Magnetic resonance imaging of the spine revealed lumbosacral subdural hematoma. The hematoma and his symptoms regressed spontaneously during several weeks of conservative treatment. A sharp increase in intraabdominal and/or intrathoracic pressures following diving may have caused the bleeding. Headache may be an initial symptom associated with subarachnoid hemorrhage concomitant with SSH. Delayed progression of lumbosacral SSH must be considered if the patient complains of lumbago following minor trauma.

show abstract

“…In the literatures, although the hematoma was located in the dorsal and ventral, patients recovered without surgical decompression. 4,12 Accordingly, if bleeding cannot produce a hematoma in the subarachnoid space, the spinal cord is not compressed by a mass effect. In this situation, no neurological deficit develops.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic spontaneous spinal subarachnoid hemorrhage

et al. 2004

View full text Add to dashboard Cite

Introduction: Spontaneous spinal subarachnoid hemorrhage (SAH) occurs in less than 1% of all cases of SAH, and idiopathic spontaneous spinal SAH is even more rare. Methods: A 48-year-old man presented with a sudden onset of low back pain without any neurological deficit. There was no history of either trauma or the use of anticoagulants. Magnetic resonance (MR) imaging of the lumbar spine revealed an intradural linear mass from T12 to L3, ventral to the conus medullais and cauda equina. The mass was of iso-signal intensity in T2-weighted images, of high signal intensity in T1-weighted images, and was not enhanced following injection of gadolium. Lumbar tapping revealed bloody cerebrospinal fluid, confirming SAH. At 1 month after the onset of symptom, his pain subsided spontaneously and no vascular abnormality was found by spinal angiography. Follow-up MR imaging confirmed the complete resolution of the SAH. Conclusion: We report a case of idiopathic spontaneous spinal SAH at the lumbar level in a 48-year-old man.

show abstract

Spontaneous spinal subdural hematoma with spontaneous resolution

Cited by 47 publications

References 5 publications

Rapid Spontaneous Remission of a Spontaneous Spinal Chronic Subdural Hematoma in a Child -Case Report-

Rapid Spontaneous Remission of a Spontaneous Spinal Chronic Subdural Hematoma in a Child -Case Report-

Lumbosacral Subdural Hematoma-Case Report-

Idiopathic spontaneous spinal subarachnoid hemorrhage

Contact Info

Product

Resources

About