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Traumatic subdural hematoma of the thoraco-lumbar junction of spinal cord.
J Spinal Disord Tech. 2007 May; 20(3):239-41.JS

Abstract

BACKGROUND

Spinal subdural hematoma (SSDH) is an exceedingly uncommon and potentially neurologically devastating condition. Recognition of blood products in magnetic resonance imaging is a very important clue for the diagnosis of SSDH. It is generally agreed that prompt surgical evacuation should be performed before irreversible damage to the spinal cord occurs. However, conservative treatment still plays a role in the management of SSDH.

OBJECTIVES

To describe the clinical presentation, characteristic MRI findings, and treatment of traumatic SSDH.

METHODS

A case of traumatic SSDH at the thoraco-lumbar junction.

RESULTS

Magnetic resonance imaging findings of high signal intensity lesion in both T1 and T2 sequences suggest the possibility of subdural hematoma although it may be mistaken for tumorlike cystic lesion of the cord. Although there is a place for conservative treatment of subdural hematoma, we believe that rapid surgical drainage of the subdural hematoma will be associated with the best prognosis especially in the cervical, thoracic, and thoraco-lumbar junctions of the spinal cord.

CONCLUSIONS

Rapid surgical drainage of traumatic SSDH affecting the thoraco-lumbar junction of the cord will be associated in most of the cases with rapid neurologic recovery.

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Authors+Show Affiliations

Greiner-Perth R
Department of Spine surgery, Orthopedic Surgery and Neurosurgery, SRH, Wald Klinikum Gera GmbH, Gera, Germany.
Mohsen Allam Y
No affiliation info available
Silbermann J
No affiliation info available
Gahr R
No affiliation info available

MeSH

Accidental FallsAged, 80 and overDecompression, SurgicalDura MaterFemaleHematoma, Subdural, SpinalHumansLaminectomyMagnetic Resonance ImagingNeurosurgical ProceduresRecovery of FunctionSpinal CanalSpinal CordSpinal Cord CompressionSubdural SpaceThoracic VertebraeTomography, X-Ray ComputedTreatment Outcome

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17473646

Citation

Greiner-Perth, Ralph, et al. "Traumatic Subdural Hematoma of the Thoraco-lumbar Junction of Spinal Cord." Journal of Spinal Disorders & Techniques, vol. 20, no. 3, 2007, pp. 239-41.
Greiner-Perth R, Mohsen Allam Y, Silbermann J, et al. Traumatic subdural hematoma of the thoraco-lumbar junction of spinal cord. J Spinal Disord Tech. 2007;20(3):239-41.
Greiner-Perth, R., Mohsen Allam, Y., Silbermann, J., & Gahr, R. (2007). Traumatic subdural hematoma of the thoraco-lumbar junction of spinal cord. Journal of Spinal Disorders & Techniques, 20(3), 239-41.
Greiner-Perth R, et al. Traumatic Subdural Hematoma of the Thoraco-lumbar Junction of Spinal Cord. J Spinal Disord Tech. 2007;20(3):239-41. PubMed PMID: 17473646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Traumatic subdural hematoma of the thoraco-lumbar junction of spinal cord. AU - Greiner-Perth,Ralph, AU - Mohsen Allam,Yasser, AU - Silbermann,Joerg, AU - Gahr,Ralf, PY - 2007/5/3/pubmed PY - 2007/7/13/medline PY - 2007/5/3/entrez SP - 239 EP - 41 JF - Journal of spinal disorders & techniques JO - J Spinal Disord Tech VL - 20 IS - 3 N2 - BACKGROUND: Spinal subdural hematoma (SSDH) is an exceedingly uncommon and potentially neurologically devastating condition. Recognition of blood products in magnetic resonance imaging is a very important clue for the diagnosis of SSDH. It is generally agreed that prompt surgical evacuation should be performed before irreversible damage to the spinal cord occurs. However, conservative treatment still plays a role in the management of SSDH. OBJECTIVES: To describe the clinical presentation, characteristic MRI findings, and treatment of traumatic SSDH. METHODS: A case of traumatic SSDH at the thoraco-lumbar junction. RESULTS: Magnetic resonance imaging findings of high signal intensity lesion in both T1 and T2 sequences suggest the possibility of subdural hematoma although it may be mistaken for tumorlike cystic lesion of the cord. Although there is a place for conservative treatment of subdural hematoma, we believe that rapid surgical drainage of the subdural hematoma will be associated with the best prognosis especially in the cervical, thoracic, and thoraco-lumbar junctions of the spinal cord. CONCLUSIONS: Rapid surgical drainage of traumatic SSDH affecting the thoraco-lumbar junction of the cord will be associated in most of the cases with rapid neurologic recovery. SN - 1536-0652 UR - https://www.unboundmedicine.com/medline/citation/17473646/Traumatic_subdural_hematoma_of_the_thoraco_lumbar_junction_of_spinal_cord_ L2 - https://doi.org/10.1097/BSD.0b013e31802c2ff6 DB - PRIME DP - Unbound Medicine ER -