Traumatic lumbar spinal subdural hematoma

William E. Gordon, Brent Y. Kimball, Adam Arthur

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Spinal subdural hematoma (SDH) is a rare and potentially life-threatening condition associated with trauma, lumbar puncture, hemorrhagic disorder, anticoagulant therapy, spinal surgery, tumor, vascular malformations, and spinal or epidural anesthesia. Traumatic SDH is even more uncommon than other forms of SDH with only 10 reported cases in the literature. Following a punch to the head and loss of consciousness, a 35-year-old man reported headaches, right-sided tinnitus, and dull ache behind both eyes. He also experienced sacral pain with stiffness that was exacerbated by movement. MRI showed an isolated lumbar SDH causing mild stenosis. On follow-up, the patient still experienced right-sided tinnitus and bilateral sacral radiculopathy and was prescribed prednisone with repeat MRI at 6weeks. At the next follow-up, the patient's radiculopathy had resolved completely. Our case illustrates rapid resolution of a posttraumatic spinal SDH after treatment with oral corticosteroids. Recognition of blood products on MRI is vital to diagnosis and expedient treatment. There is agreement that prompt laminectomy with evacuation of SDH should be performed before permanent damage to the spinal cord occurs. Including our patient, 4 of 11 reported cases of thoracic or lumbar SDH resolved with conservative treatment.

Original languageEnglish (US)
Pages (from-to)123-127
Number of pages5
JournalInterdisciplinary Neurosurgery: Advanced Techniques and Case Management
Volume1
Issue number4
DOIs
StatePublished - Jan 1 2014

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Spinal Subdural Hematoma
Subdural Hematoma
Radiculopathy
Tinnitus
Hemorrhagic Disorders
Pain
Vascular Malformations
Spinal Puncture
Laminectomy
Unconsciousness
Epidural Anesthesia
Spinal Anesthesia
Prednisone
Anticoagulants
Headache
Spinal Cord
Adrenal Cortex Hormones
Pathologic Constriction
Thorax
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Traumatic lumbar spinal subdural hematoma. / Gordon, William E.; Kimball, Brent Y.; Arthur, Adam.

In: Interdisciplinary Neurosurgery: Advanced Techniques and Case Management, Vol. 1, No. 4, 01.01.2014, p. 123-127.

Research output: Contribution to journalArticle

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