Lumbar chronic subdural hematoma mimicking an intradural extramedullary tumor: A case report

BACKGROUND: Chronic spinal subdural hematomas are extremely rare with only 28 cases reported in the literature. Nevertheless, they should be considered among the differential diagnoses for spinal intradural/extramedullary lesions. CASE REPORT: A 65-year-old male presented with progressive back pain...

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Detalles Bibliográficos
Autores principales: Kim, Hyeun Sung, Adsul, Nitin, Ju, Yoon Seok, Kim, Ki Joon, Choi, Sung Ho, Kim, Jeong Hoon, Chung, Sung Kyun, Choi, Jeong-Hoon, Jang, Jee-Soo, Jang, Il-Tae, Oh, Seong-Hoon, Park, Jae Eun, Lee, Sol
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Spine: Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5629839/
https://www.ncbi.nlm.nih.gov/pubmed/29026667
http://dx.doi.org/10.4103/sni.sni_262_17
Descripción
Sumario:BACKGROUND: Chronic spinal subdural hematomas are extremely rare with only 28 cases reported in the literature. Nevertheless, they should be considered among the differential diagnoses for spinal intradural/extramedullary lesions. CASE REPORT: A 65-year-old male presented with progressive back pain and right S1 radiculopathy. Magnetic resonance imaging scan revealed a right-sided posterolateral intradural/extramedullary lesion at the L5–S1 level. It was hyperintense on T1 and hypointense on T2-weighted images; on the short TI inversion recovery sequence it was hyperintense. The lesion was excised through a right L5 hemilaminectomy, and the patient was neurologically intact postoperatively. Histopathology revealed a chronic subdural hematoma. CONCLUSION: Chronic spinal subdural hematoma can mimic intradural extramedullary spinal tumors even in the absence of trauma and/or coagulopathies.

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