Traumatic lumbar spinal subdural hematoma

Gordon, William E.; Kimball, B.Y.; Arthur, Adam S

doi:10.1016/j.inat.2014.09.003

“…Combination of preexisting coagulopathy or anticoagulation therapy with subsequent trauma or intervention is particularly prone to development of subdural hematoma. Traumatic cases are somewhat uncommon, with only 10 reported cases (24), to our knowledge.…”

Section: Subdural Hematoma Backgroundmentioning

confidence: 85%

“…The evolution of the spinal hematoma can be observed with serial MRI (14). Cervical and thoracic subdural hematomas have been associated with poorer prognosis than lumbar hematomas (24), and surgery should be given increased consideration.…”

Section: Treatmentmentioning

confidence: 99%

Spinal Hematomas: What a Radiologist Needs to Know

Pierce

¹

,

Donahue

²

,

Nacey

³

et al. 2018

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Spinal hematomas are a frequent indication for radiologic evaluation and can be a diagnostic dilemma for many radiologists and surgeons. There are four types of spinal hematomas: epidural, subdural, subarachnoid, and intramedullary (spinal cord) hematomas. Because they differ by their location in relationship to the meningeal membranes and spinal cord, unique radiologic appearances can be recognized to distinguish these types of spinal hemorrhage. Anatomic knowledge of the spinal compartments is essential to the radiologist for confident imaging diagnosis of spinal hematomas and to specify correct locations. MRI is the modality of choice to diagnose the location of the hematoma, characterize important features such as age of the hemorrhage, and detect associated injury or disease. Each type of spinal hematoma has imaging patterns and characteristics that distinguish it from the others, as these specific spinal compartments displace and affect the adjacent anatomic structures. Early detection and accurate localization of spinal hematomas is critical for the surgeon to address the proper treatment and surgical decompression, when necessary, as neurologic deficits may otherwise become permanent. Online supplemental material is available for this article. RSNA, 2018.

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“…Das Risiko der Ausbildung eines subduralen Hämatoms nach einem Trauma oder einer Intervention ist im Fall einer vorbestehenden Koagulopathie oder laufenden Antikoagulationstherapie besonders erhöht. Traumatische Fälle sind nach Erkenntnissen der Autoren mit nur 10 berichteten Fällen eher selten [24].…”

Section: Subdurales Hämatomunclassified

“…Die Entwicklung des spinalen Hämatoms lässt sich mittels serieller MRT-Aufnahmen verfolgen [14]. Zervikale und thorakale subdurale Hämatome wurden gegenüber lumbalen Hämatomen mit einer schlechteren Prognose in Zusammenhang gebracht [24] und die Indikation zur Operation sollte großzügig gestellt werden.…”

Section: Behandlungunclassified

Spinale Hämatome: Was der Radiologe wissen muss

Pierce¹,

Donahue²,

Nacey³

et al. 2019

Neuroradiol Scan

0

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Spinal hematomas are a frequent indication for radiologic evaluation and can be a diagnostic dilemma for many radiologists and surgeons. There are four types of spinal hematomas: epidural, subdural, subarachnoid, and intramedullary (spinal cord) hematomas. Because they differ by their location in relationship to the meningeal membranes and spinal cord, unique radiologic appearances can be recognized to distinguish these types of spinal hemorrhage. Anatomic knowledge of the spinal compartments is essential to the radiologist for confident imaging diagnosis of spinal hematomas and to specify correct locations. MRI is the modality of choice to diagnose the location of the hematoma, characterize important features such as age of the hemorrhage, and detect associated injury or disease. Each type of spinal hematoma has imaging patterns and characteristics that distinguish it from the others, as these specific spinal compartments displace and affect the adjacent anatomic structures. Early detection and accurate localization of spinal hematomas is critical for the surgeon to address the proper treatment and surgical decompression, when necessary, as neurologic deficits may otherwise become permanent.

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“…Traumatic spinal cord compression is usually caused by traumatic disc herniation, 1 , 2 bone fragment displacement, 3 hematomas, 4 or foreign bodies. 5 They are usually associated with high-energy trauma.…”

Section: Introductionmentioning

confidence: 99%