Articles: spinal-subdural-hematoma.
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Compared with spinal epidural hematomas, spinal subdural hematomas are rare; chronic forms are even more uncommon. These hematomas are associated not only with lumbar puncture and spinal trauma, but also with coagulopathies, vascular malformations and tumors. ⋯ On magnetic resonance imaging these hematomas present as thoracic or lumbar subdural masses, their signal intensity varying with the age of the hematoma. We report the clinical course and the findings revealed by imaging that led to the diagnosis in three cases of chronic spinal subdural hematoma.
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Reports of spinal subdural hematoma are rare. In the few reported cases, type of onset, symptoms, and course have varied, precluding diagnosis based on simple radiography. Obtaining a definitive diagnosis and deciding on a treatment approach can thus sometimes be difficult. ⋯ With subacute spinal subdural hematoma, progression to paraplegia occurs slowly, over a period of > or =1 week. Although several cases of spontaneous resolution have been described early surgical treatment is commonly required. This article presents a case of an 85-year-old woman with subacute spinal subdural hematoma who regained the ability to walk following surgical treatment.
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Case Reports
Acute spontaneous spinal subdural hematoma in a patient with bilateral incarcerated inguinal hernia.
Acute spinal subdural hematoma is an infrequent and devastating condition that occurs mostly in patients with coagulopathy or receiving anticoagulants. It may also develop after trauma, spinal surgery or iatrogenically (lumbar puncture and/or spinal anaesthesia). Spinal vascular malformations or spinal tumours can also be the origins of subdural hematomas. However, acute spinal subdural hematomas, which are not associated with these risk factors, are seen even more infrequently. In this report, we have described a case of spontaneous acute spinal subdural hematoma that occurred in a patient with bilateral incarcerated inguinal hernia and discussed the possible pathomechanisms. ⋯ Acute spinal subdural hematoma is an emergency condition in case of neurological compromise. Urgent surgical evacuation of hematoma results in good outcome. In the case of unidentified etiologies, the conditions that could play a role in increased intraabdominal and/or intrathoracic pressure should be considered always.
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Rev Esp Anestesiol Reanim · Dec 2007
[Incidence in Catalonia of spinal cord compression due to spinal hematoma secondary to neuraxial anesthesia].
To study the incidence in Catalonia of spinal cord compression due to spinal hematoma secondary to neuraxial anesthesia. ⋯ The incidence of spinal hematoma after neuraxial anesthesia is slightly more than 1 per 150 000 anesthesias-a similar finding to that of other epidemiological studies. The incidence is slightly higher in epidural anesthesia. These data imply a risk of approximately 1 spinal hematoma per year in Catalonia.
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Acta neurochirurgica · Oct 2007
Case ReportsSpontaneous chronic head and spinal subdural haematoma.
Spinal chronic subdural haematomas (SSDH) are extremely rare. We report a case of a SSDH combined with intracranial SDH. After tapping the SSDH in addition to the evacuation of SDH, the clinical symptoms dramatically improved. SSDH are considered to have an uncertain prognosis; however, good results can be obtained with an early diagnosis and prompt treatment.