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Spinal subdural haematoma concurrent with cranial subdural haematoma: Report of two cases and review of literature.
Br J Neurosurg. 2010 Oct; 24(5):537-41.BJ

Abstract

Subdural haematomas co-existing in the cranium and spine are considered extremely rare. We report 2 cases demonstrating the condition described here with a review of literature. One of these 2 patients was the first case in which the spinal lesion was found before the cranial lesion. A 66-year-old man without trauma presented with paraparesis accompanied by severe leg pain. The patient was diagnosed as having spinal subdural haematoma extending from L1 to S1 vertebral levels with magnetic resonance images (MRI). Two days after admission, the patient developed disorientation and abnormal behavior; therefore, computed tomography (CT) of brain was performed, and chronic cranial subdural haematoma was observed. A 60-year-old man who developed headache showing gradually progressive was diagnosed as having cranial subdural haematoma on CT. Three days after admission, he became insomnolent due to severe low back pain radiating to ankle. On MRI, subdural haematoma was found extending from L3/4 to S2 vertebral levels. Only brain surgery was performed for all cases by the neurosurgeons. Paraparesis and severe leg pain, which were derived from spinal lesions, showed recovery approximately 2 weeks after onset and spinal subdural haematoma was completely resolved on MRI obtained 2 or 5 months after onset, respectively. There is a possibility that the incidence of spinal subdural haematoma concurrent with cranial subdural haematoma could be underestimated because the doctor had not obtained CT or MRI of the brain. Doctors should aware of such a condition and check patients with spinal subdural haematoma for neurological signs derived from brain lesions. Spontaneous resolution of spinal subdural haematoma was observed; therefore, surgery for this condition should be indicated only for patients with moderate or severe paraparesis or paraparesis deteriorated.

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Authors+Show Affiliations

Nagashima H
Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, Yonago, Japan. hidekin@med.tottori-u.ac.jp
Tanida A
No affiliation info available
Hayashi I
No affiliation info available
Tanishima S
No affiliation info available
Nanjo Y
No affiliation info available
Dokai T
No affiliation info available
Teshima R
No affiliation info available

MeSH

AgedHematoma, Subdural, IntracranialHematoma, Subdural, SpinalHumansMagnetic Resonance SpectroscopyMaleMiddle AgedParaparesisTomography, X-Ray ComputedTreatment Outcome

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

20828301

Citation

Nagashima, Hideki, et al. "Spinal Subdural Haematoma Concurrent With Cranial Subdural Haematoma: Report of Two Cases and Review of Literature." British Journal of Neurosurgery, vol. 24, no. 5, 2010, pp. 537-41.
Nagashima H, Tanida A, Hayashi I, et al. Spinal subdural haematoma concurrent with cranial subdural haematoma: Report of two cases and review of literature. Br J Neurosurg. 2010;24(5):537-41.
Nagashima, H., Tanida, A., Hayashi, I., Tanishima, S., Nanjo, Y., Dokai, T., & Teshima, R. (2010). Spinal subdural haematoma concurrent with cranial subdural haematoma: Report of two cases and review of literature. British Journal of Neurosurgery, 24(5), 537-41. https://doi.org/10.3109/02688691003656119
Nagashima H, et al. Spinal Subdural Haematoma Concurrent With Cranial Subdural Haematoma: Report of Two Cases and Review of Literature. Br J Neurosurg. 2010;24(5):537-41. PubMed PMID: 20828301.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spinal subdural haematoma concurrent with cranial subdural haematoma: Report of two cases and review of literature. AU - Nagashima,Hideki, AU - Tanida,Atsushi, AU - Hayashi,Ikuta, AU - Tanishima,Shinji, AU - Nanjo,Yoshiro, AU - Dokai,Toshiyuki, AU - Teshima,Ryota, PY - 2010/9/11/entrez PY - 2010/9/11/pubmed PY - 2011/5/18/medline SP - 537 EP - 41 JF - British journal of neurosurgery JO - Br J Neurosurg VL - 24 IS - 5 N2 - Subdural haematomas co-existing in the cranium and spine are considered extremely rare. We report 2 cases demonstrating the condition described here with a review of literature. One of these 2 patients was the first case in which the spinal lesion was found before the cranial lesion. A 66-year-old man without trauma presented with paraparesis accompanied by severe leg pain. The patient was diagnosed as having spinal subdural haematoma extending from L1 to S1 vertebral levels with magnetic resonance images (MRI). Two days after admission, the patient developed disorientation and abnormal behavior; therefore, computed tomography (CT) of brain was performed, and chronic cranial subdural haematoma was observed. A 60-year-old man who developed headache showing gradually progressive was diagnosed as having cranial subdural haematoma on CT. Three days after admission, he became insomnolent due to severe low back pain radiating to ankle. On MRI, subdural haematoma was found extending from L3/4 to S2 vertebral levels. Only brain surgery was performed for all cases by the neurosurgeons. Paraparesis and severe leg pain, which were derived from spinal lesions, showed recovery approximately 2 weeks after onset and spinal subdural haematoma was completely resolved on MRI obtained 2 or 5 months after onset, respectively. There is a possibility that the incidence of spinal subdural haematoma concurrent with cranial subdural haematoma could be underestimated because the doctor had not obtained CT or MRI of the brain. Doctors should aware of such a condition and check patients with spinal subdural haematoma for neurological signs derived from brain lesions. Spontaneous resolution of spinal subdural haematoma was observed; therefore, surgery for this condition should be indicated only for patients with moderate or severe paraparesis or paraparesis deteriorated. SN - 1360-046X UR - https://www.unboundmedicine.com/medline/citation/20828301/Spinal_subdural_haematoma_concurrent_with_cranial_subdural_haematoma:_Report_of_two_cases_and_review_of_literature_ L2 - https://www.tandfonline.com/doi/full/10.3109/02688691003656119 DB - PRIME DP - Unbound Medicine ER -