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Do cranial subdural hematomas migrate to the lumbar spine?
J Clin Neurosci. 2011 Apr; 18(4):563-5.JC

Abstract

We report a patient with minor head trauma-related bilateral hemispheric subdural hematoma (SDH) and subsequent delayed spinal SDH or presumed migration to the lumbar spine. An acutely confused 88-year-old man presented to the Emergency Department after minor head trauma. Head CT scan revealed a small hemispheric SDH. The patient was admitted for observation. CT scan 6 hours later showed bilateral SDH with extension to the tentorium. Three days later SDH had resolved leaving bilateral subdural hygromas. Local leg weakness localized to the lumbar spine developed on day 6; spinal CT scan and MRI revealed a posterior L5-S1 collection. A pure subacute subdural hematoma compressing the cauda equina was drained after an L5 laminectomy. His lower leg weakness improved. The patient was discharged to rehabilitation two weeks after surgery. Patients with traumatic SDH who develop late-onset neurological deterioration attributable to any region of the spine should be evaluated for spinal SDH.

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Authors+Show Affiliations

Moscovici S
Department of Neurosurgery, Hadassah-Hebrew University Medical Center, POB 12000, Jerusalem 91120, Israel.
Paldor I
No affiliation info available
Ramirez de-Noriega F
No affiliation info available
Itshayek E
No affiliation info available
Shoshan Y
No affiliation info available
Spektor S
No affiliation info available
Attia M
No affiliation info available

MeSH

Aged, 80 and overCraniocerebral TraumaDrainageHematoma, Subdural, IntracranialHematoma, Subdural, SpinalHumansLumbosacral RegionMaleMyocardial IschemiaSubdural Effusion

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21257311

Citation

Moscovici, S, et al. "Do Cranial Subdural Hematomas Migrate to the Lumbar Spine?" Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, vol. 18, no. 4, 2011, pp. 563-5.
Moscovici S, Paldor I, Ramirez de-Noriega F, et al. Do cranial subdural hematomas migrate to the lumbar spine? J Clin Neurosci. 2011;18(4):563-5.
Moscovici, S., Paldor, I., Ramirez de-Noriega, F., Itshayek, E., Shoshan, Y., Spektor, S., & Attia, M. (2011). Do cranial subdural hematomas migrate to the lumbar spine? Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia, 18(4), 563-5. https://doi.org/10.1016/j.jocn.2010.07.116
Moscovici S, et al. Do Cranial Subdural Hematomas Migrate to the Lumbar Spine. J Clin Neurosci. 2011;18(4):563-5. PubMed PMID: 21257311.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Do cranial subdural hematomas migrate to the lumbar spine? AU - Moscovici,S, AU - Paldor,I, AU - Ramirez de-Noriega,F, AU - Itshayek,E, AU - Shoshan,Y, AU - Spektor,S, AU - Attia,M, Y1 - 2011/01/22/ PY - 2010/07/09/received PY - 2010/07/16/accepted PY - 2011/1/25/entrez PY - 2011/1/25/pubmed PY - 2011/6/28/medline SP - 563 EP - 5 JF - Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia JO - J Clin Neurosci VL - 18 IS - 4 N2 - We report a patient with minor head trauma-related bilateral hemispheric subdural hematoma (SDH) and subsequent delayed spinal SDH or presumed migration to the lumbar spine. An acutely confused 88-year-old man presented to the Emergency Department after minor head trauma. Head CT scan revealed a small hemispheric SDH. The patient was admitted for observation. CT scan 6 hours later showed bilateral SDH with extension to the tentorium. Three days later SDH had resolved leaving bilateral subdural hygromas. Local leg weakness localized to the lumbar spine developed on day 6; spinal CT scan and MRI revealed a posterior L5-S1 collection. A pure subacute subdural hematoma compressing the cauda equina was drained after an L5 laminectomy. His lower leg weakness improved. The patient was discharged to rehabilitation two weeks after surgery. Patients with traumatic SDH who develop late-onset neurological deterioration attributable to any region of the spine should be evaluated for spinal SDH. SN - 1532-2653 UR - https://www.unboundmedicine.com/medline/citation/21257311/Do_cranial_subdural_hematomas_migrate_to_the_lumbar_spine L2 - https://linkinghub.elsevier.com/retrieve/pii/S0967-5868(10)00653-3 DB - PRIME DP - Unbound Medicine ER -