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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...

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Autores principales: Mitwalli, M. Yassin, Elmoheen, Amr, Bashir, Khalid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2020
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.
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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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