Korean J Neurotrauma.  2014 Oct;10(2):146-148. 10.13004/kjnt.2014.10.2.146.

Traumatic Spinal Subdural Hematoma with Intracranial Subdural Hematoma

• Kim HG
• Kim TW
• Park KH
• Chi MP

• KMID: 2256256
• DOI: http://doi.org/10.13004/kjnt.2014.10.2.146

Abstract

Traumatic spinal subdural hematoma associated with intracranial subdural hematoma is a rare condition. Herein, we report the case of a 62-year-old man with lower back pain, radiating pain, and numbness in both lower extremities, without motor weakness, for 2 weeks. Lumbar magnetic resonance imaging (MRI) revealed high signal intensity on T1-weighted image (WI), and low signal intensity on T2-WI from L2 to L5. Two weeks after conservative management, follow-up lumbar MRI did not show the hematoma and his symptoms were relieved and there was no neurological deficit; therefore, he was discharged. However, subsequently, intracranial subdural hematoma increased and upper extremity motor weakness appeared. This was treated surgically. If there is no neurological deficit, conservative treatment may be a good option. Follow-up evaluation for asymptomatic cranial subdural hematoma is necessary.

Keyword

Hematoma subdural intracranial; Hematoma subdural spinal; Spinal cord injuries; Injuries

MeSH Terms

Follow-Up Studies
Hematoma
Hematoma, Subdural
Hematoma, Subdural, Intracranial*
Hematoma, Subdural, Spinal*
Humans
Hypesthesia
Low Back Pain
Lower Extremity
Magnetic Resonance Imaging
Middle Aged
Spinal Cord Injuries
Upper Extremity

Figure

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  FIGURE 1 On admission, initial brain computed tomography scan showing isodense subdural hematoma.

• 

  FIGURE 2 Lumbar magnetic resonance images show focal subdural fluid collection from L2 to L5 level with low signal intensity in T2-weighted image (A) and high signal intensity in T1-weighted image (B).

• 

  FIGURE 3 Two weeks later, follow-up sagittal T2 (A) and T1 (B) images show markedly decreased volume and mass effect of hematoma.

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