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Acute Spontaneous Spinal Subdural Hematoma: A Case Report
Patient: Male, 25-year-old Final Diagnosis: Acute spontaneous spinal subdural hematoma Symptoms: Weakness Medication:— Clinical Procedure: — Specialty: Critical Care Medicine • Neurology • Neurosurgery • Radiology OBJECTIVE: Rare disease BACKGROUND: Spontaneous spinal subdural hematoma is a rare con...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7423169/ https://www.ncbi.nlm.nih.gov/pubmed/32741959 http://dx.doi.org/10.12659/AJCR.922416 |
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author | Mitwalli, M. Yassin Elmoheen, Amr Bashir, Khalid |
author_facet | Mitwalli, M. Yassin Elmoheen, Amr Bashir, Khalid |
author_sort | Mitwalli, M. Yassin |
collection | PubMed |
description | Patient: Male, 25-year-old Final Diagnosis: Acute spontaneous spinal subdural hematoma Symptoms: Weakness Medication:— Clinical Procedure: — Specialty: Critical Care Medicine • Neurology • Neurosurgery • Radiology OBJECTIVE: Rare disease BACKGROUND: Spontaneous spinal subdural hematoma is a rare condition that can lead to devastating neurologic deficits, usually caused by coagulation abnormalities, trauma, underlying neoplasm, or arteriovenous malformation. The patient presents with local and/or radicular pain, followed by loss of sensory, motor, bladder, and bowel function. CASE REPORT: A 25-year-old patient presented with left-sided weakness preceded by nontraumatic upper back pain. He denied any past medical illness and being on any regular medications. He had decreased strength in the left lower limb, left upper limb, and right lower limb, with intact strength in the right upper limb. The patient exhibited decreased sensation of pain and touch on the right side of the lower limb, bilateral loss of proprioception, and intact reflexes and anal tone. He had weakness on the left side of the body and contralateral decreased sensation of pain and touch on the right side. These symptoms were suggestive of Brown-Séquard syndrome, while the bilateral loss of proprioception suggested posterior cord syndrome. Magnetic resonance imaging showed an acute spinal subdural canal hematoma producing cord compression. The patient had an urgent laminectomy and hematoma evacuation. Afterward, his neurological function improved. CONCLUSIONS: Spontaneous spinal subdural hematoma can occur without any known pathology or remarkable trauma. It can compress the spinal cord and produce cerebral stroke-like symptoms. Hence, spinal hematoma should be ruled out in any patient presenting with a neurological deficit. |
format | Online Article Text |
id | pubmed-7423169 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-74231692020-08-20 Acute Spontaneous Spinal Subdural Hematoma: A Case Report Mitwalli, M. Yassin Elmoheen, Amr Bashir, Khalid Am J Case Rep Articles Patient: Male, 25-year-old Final Diagnosis: Acute spontaneous spinal subdural hematoma Symptoms: Weakness Medication:— Clinical Procedure: — Specialty: Critical Care Medicine • Neurology • Neurosurgery • Radiology OBJECTIVE: Rare disease BACKGROUND: Spontaneous spinal subdural hematoma is a rare condition that can lead to devastating neurologic deficits, usually caused by coagulation abnormalities, trauma, underlying neoplasm, or arteriovenous malformation. The patient presents with local and/or radicular pain, followed by loss of sensory, motor, bladder, and bowel function. CASE REPORT: A 25-year-old patient presented with left-sided weakness preceded by nontraumatic upper back pain. He denied any past medical illness and being on any regular medications. He had decreased strength in the left lower limb, left upper limb, and right lower limb, with intact strength in the right upper limb. The patient exhibited decreased sensation of pain and touch on the right side of the lower limb, bilateral loss of proprioception, and intact reflexes and anal tone. He had weakness on the left side of the body and contralateral decreased sensation of pain and touch on the right side. These symptoms were suggestive of Brown-Séquard syndrome, while the bilateral loss of proprioception suggested posterior cord syndrome. Magnetic resonance imaging showed an acute spinal subdural canal hematoma producing cord compression. The patient had an urgent laminectomy and hematoma evacuation. Afterward, his neurological function improved. CONCLUSIONS: Spontaneous spinal subdural hematoma can occur without any known pathology or remarkable trauma. It can compress the spinal cord and produce cerebral stroke-like symptoms. Hence, spinal hematoma should be ruled out in any patient presenting with a neurological deficit. International Scientific Literature, Inc. 2020-08-03 /pmc/articles/PMC7423169/ /pubmed/32741959 http://dx.doi.org/10.12659/AJCR.922416 Text en © Am J Case Rep, 2020 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Articles Mitwalli, M. Yassin Elmoheen, Amr Bashir, Khalid Acute Spontaneous Spinal Subdural Hematoma: A Case Report |
title | Acute Spontaneous Spinal Subdural Hematoma: A Case Report |
title_full | Acute Spontaneous Spinal Subdural Hematoma: A Case Report |
title_fullStr | Acute Spontaneous Spinal Subdural Hematoma: A Case Report |
title_full_unstemmed | Acute Spontaneous Spinal Subdural Hematoma: A Case Report |
title_short | Acute Spontaneous Spinal Subdural Hematoma: A Case Report |
title_sort | acute spontaneous spinal subdural hematoma: a case report |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7423169/ https://www.ncbi.nlm.nih.gov/pubmed/32741959 http://dx.doi.org/10.12659/AJCR.922416 |
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