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Spinal Subdural Hematomas in a Normal Child without Trauma History: A Case Report

Acute Spinal Subdural Hematoma (ASSH) is a rarely recognized condition that may result in severe irreversible neurologic complication. A 7-yr old girl presented to Neurology Department, Mofid Hospital, ShahidBeheshti University of Medical Sciences, Tehran, Iran with limping and pain in lower extremi...

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Autores principales: FARZAN, Abdonaser, POURBAKHTYARAN, Elham, MOOSAVIAN, Toktam, MOOSAVIAN, Hamidreza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shahid Beheshti University of Medical Sciences 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586447/
https://www.ncbi.nlm.nih.gov/pubmed/31327977
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author FARZAN, Abdonaser
POURBAKHTYARAN, Elham
MOOSAVIAN, Toktam
MOOSAVIAN, Hamidreza
author_facet FARZAN, Abdonaser
POURBAKHTYARAN, Elham
MOOSAVIAN, Toktam
MOOSAVIAN, Hamidreza
author_sort FARZAN, Abdonaser
collection PubMed
description Acute Spinal Subdural Hematoma (ASSH) is a rarely recognized condition that may result in severe irreversible neurologic complication. A 7-yr old girl presented to Neurology Department, Mofid Hospital, ShahidBeheshti University of Medical Sciences, Tehran, Iran with limping and pain in lower extremities and acute paraplegia without history of direct trauma. The patient had muscle weakness in lower limbs and was unable to bear weight. Deep Tendon Reflexes (DTR) in lower extremities had increased. Her MRI showed spinal subdural hematoma we reextended from T2 to T6. We performed laminectomy from T2 to T5 and about 70 cc of subdural hematoma was evacuated. One month after the surgery, the patient's neurological deficit resolved completely. The results showed the pivotal role of attention to clinical manifestation in acute spinal subdural hematoma and early diagnosis to prevent irreversible neurologic complication.
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spelling pubmed-65864472019-10-01 Spinal Subdural Hematomas in a Normal Child without Trauma History: A Case Report FARZAN, Abdonaser POURBAKHTYARAN, Elham MOOSAVIAN, Toktam MOOSAVIAN, Hamidreza Iran J Child Neurol Case Report Acute Spinal Subdural Hematoma (ASSH) is a rarely recognized condition that may result in severe irreversible neurologic complication. A 7-yr old girl presented to Neurology Department, Mofid Hospital, ShahidBeheshti University of Medical Sciences, Tehran, Iran with limping and pain in lower extremities and acute paraplegia without history of direct trauma. The patient had muscle weakness in lower limbs and was unable to bear weight. Deep Tendon Reflexes (DTR) in lower extremities had increased. Her MRI showed spinal subdural hematoma we reextended from T2 to T6. We performed laminectomy from T2 to T5 and about 70 cc of subdural hematoma was evacuated. One month after the surgery, the patient's neurological deficit resolved completely. The results showed the pivotal role of attention to clinical manifestation in acute spinal subdural hematoma and early diagnosis to prevent irreversible neurologic complication. Shahid Beheshti University of Medical Sciences 2019 /pmc/articles/PMC6586447/ /pubmed/31327977 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
FARZAN, Abdonaser
POURBAKHTYARAN, Elham
MOOSAVIAN, Toktam
MOOSAVIAN, Hamidreza
Spinal Subdural Hematomas in a Normal Child without Trauma History: A Case Report
title Spinal Subdural Hematomas in a Normal Child without Trauma History: A Case Report
title_full Spinal Subdural Hematomas in a Normal Child without Trauma History: A Case Report
title_fullStr Spinal Subdural Hematomas in a Normal Child without Trauma History: A Case Report
title_full_unstemmed Spinal Subdural Hematomas in a Normal Child without Trauma History: A Case Report
title_short Spinal Subdural Hematomas in a Normal Child without Trauma History: A Case Report
title_sort spinal subdural hematomas in a normal child without trauma history: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6586447/
https://www.ncbi.nlm.nih.gov/pubmed/31327977
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