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Spontaneous concomitant cranial and spinal subdural haematomas with spontaneous resolution.
Singapore Med J. 2008 Feb; 49(2):e53-8.SM

Abstract

We report a rare case of concomitant cranial and spinal subdural haematoma (SDH) in a 12-year-old boy with severe thrombocytopenia due to aplastic anaemia, and review the available literature. Magnetic resonance (MR) imaging at presentation revealed a cranial SDH confined to the posterior fossa, and spinal SDH extending from the C1 to S3 segments. The child was managed conservatively due to his poor general condition and lack of any neurological deficit. Repeat MR imaging done at six weeks showed complete resolution of the spinal SDH and partial resolution of the cranial SDH. Although rare, a spontaneous spinal SDH can occur simultaneously with a cranial SDH. Urgent surgical decompression is considered the treatment of choice for spinal SDH; however, a conservative approach may succeed in patients with poor general condition, and/or mild/no neurological deficit.

Authors+Show Affiliations

Jain V
Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
Singh J
No affiliation info available
Sharma R
No affiliation info available

MeSH

Anemia, AplasticChildFatal OutcomeHematoma, Subdural, IntracranialHematoma, Subdural, SpinalHumansMagnetic Resonance ImagingMaleMannitolPlatelet TransfusionRadiographyRecurrenceRemission, SpontaneousSteroids

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

18301828

Citation

Jain, V, et al. "Spontaneous Concomitant Cranial and Spinal Subdural Haematomas With Spontaneous Resolution." Singapore Medical Journal, vol. 49, no. 2, 2008, pp. e53-8.
Jain V, Singh J, Sharma R. Spontaneous concomitant cranial and spinal subdural haematomas with spontaneous resolution. Singapore Med J. 2008;49(2):e53-8.
Jain, V., Singh, J., & Sharma, R. (2008). Spontaneous concomitant cranial and spinal subdural haematomas with spontaneous resolution. Singapore Medical Journal, 49(2), e53-8.
Jain V, Singh J, Sharma R. Spontaneous Concomitant Cranial and Spinal Subdural Haematomas With Spontaneous Resolution. Singapore Med J. 2008;49(2):e53-8. PubMed PMID: 18301828.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous concomitant cranial and spinal subdural haematomas with spontaneous resolution. AU - Jain,V, AU - Singh,J, AU - Sharma,R, PY - 2008/2/28/pubmed PY - 2008/3/18/medline PY - 2008/2/28/entrez SP - e53 EP - 8 JF - Singapore medical journal JO - Singapore Med J VL - 49 IS - 2 N2 - We report a rare case of concomitant cranial and spinal subdural haematoma (SDH) in a 12-year-old boy with severe thrombocytopenia due to aplastic anaemia, and review the available literature. Magnetic resonance (MR) imaging at presentation revealed a cranial SDH confined to the posterior fossa, and spinal SDH extending from the C1 to S3 segments. The child was managed conservatively due to his poor general condition and lack of any neurological deficit. Repeat MR imaging done at six weeks showed complete resolution of the spinal SDH and partial resolution of the cranial SDH. Although rare, a spontaneous spinal SDH can occur simultaneously with a cranial SDH. Urgent surgical decompression is considered the treatment of choice for spinal SDH; however, a conservative approach may succeed in patients with poor general condition, and/or mild/no neurological deficit. SN - 0037-5675 UR - https://www.unboundmedicine.com/medline/citation/18301828/Spontaneous_concomitant_cranial_and_spinal_subdural_haematomas_with_spontaneous_resolution_ DB - PRIME DP - Unbound Medicine ER -