J Korean Neurosurg Soc.  2015 May;57(5):371-375. 10.3340/jkns.2015.57.5.371.

Spontaneous Spinal Subdural Hematoma with Simultaneous Cranial Subarachnoid Hemorrhage

Affiliations
  • 1Department of Neurosurgery, Yeungnam University College of Medicine, Daegu, Korea. jicns@hanmail.net

Abstract

Spontaneous spinal subdural hematoma is reported at a rare level of incidence, and is frequently associated with underlying coagulopathy or those receiving anticoagulant or antiplatelet agents; some cases accompany concomitant intracranial hemorrhage. The spontaneous development of spinal subdural hemorrhage (SDH) is a neurological emergency; therefore, early diagnosis, the discontinuation of anticoagulant, and urgent surgical decompression are required to enable neurological recovery. In this report, we present a simultaneous spinal subdural hematoma and cranial subarachnoid hemorrhage, which mimicked an aneurysmal origin in a female patient who had been taking warfarin due to aortic valve replacement surgery.

Keyword

Spontaneous; Spinal subdural hematoma; Subarachnoid hemorrhage

MeSH Terms

Aneurysm
Aortic Valve
Decompression, Surgical
Early Diagnosis
Emergencies
Female
Hematoma, Subdural
Hematoma, Subdural, Spinal*
Humans
Incidence
Intracranial Hemorrhages
Platelet Aggregation Inhibitors
Subarachnoid Hemorrhage*
Warfarin
Platelet Aggregation Inhibitors
Warfarin
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