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Traumatic subdural hematoma in the lumbar spine.
Kaohsiung J Med Sci. 2011 Oct; 27(10):473-6.KJ

Abstract

Traumatic spinal subdural hematoma is rare and its mechanism remains unclear. This intervention describes a patient with mental retardation who was suffering from back pain and progressive weakness of the lower limbs following a traffic accident. Magnetic resonance imaging of the spine revealed a lumbar subdural lesion. Hematoma was identified in the spinal subdural space during an operation. The muscle power of both lower limbs recovered to normal after surgery. The isolated traumatic spinal subdural hematoma was not associated with intracranial subdural hemorrhage. A spinal subdural hematoma should be considered in the differential diagnosis of spinal cord compression, especially for patients who have sustained spinal trauma. Emergency surgical decompression is usually the optimal treatment for a spinal subdural hematoma with acute deterioration and severe neurological deficits.

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Authors+Show Affiliations

Song JY
Division of Neurosurgery, Department of Surgery, Taichung Armed Forces General Hospital, Taiwan.
Chen YH
No affiliation info available
Hung KC
No affiliation info available
Chang TS
No affiliation info available

MeSH

AdultDecompression, SurgicalDiagnosis, DifferentialHematoma, SubduralHematoma, Subdural, SpinalHumansLumbar VertebraeMagnetic Resonance ImagingMaleSpinal Cord CompressionSpine

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21943822

Citation

Song, Jenn-Yeu, et al. "Traumatic Subdural Hematoma in the Lumbar Spine." The Kaohsiung Journal of Medical Sciences, vol. 27, no. 10, 2011, pp. 473-6.
Song JY, Chen YH, Hung KC, et al. Traumatic subdural hematoma in the lumbar spine. Kaohsiung J Med Sci. 2011;27(10):473-6.
Song, J. Y., Chen, Y. H., Hung, K. C., & Chang, T. S. (2011). Traumatic subdural hematoma in the lumbar spine. The Kaohsiung Journal of Medical Sciences, 27(10), 473-6. https://doi.org/10.1016/j.kjms.2011.06.009
Song JY, et al. Traumatic Subdural Hematoma in the Lumbar Spine. Kaohsiung J Med Sci. 2011;27(10):473-6. PubMed PMID: 21943822.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Traumatic subdural hematoma in the lumbar spine. AU - Song,Jenn-Yeu, AU - Chen,Yu-Hao, AU - Hung,Kuang-Chen, AU - Chang,Ti-Sheng, Y1 - 2011/07/28/ PY - 2010/04/06/received PY - 2010/10/21/accepted PY - 2011/9/28/entrez PY - 2011/9/29/pubmed PY - 2012/1/27/medline SP - 473 EP - 6 JF - The Kaohsiung journal of medical sciences JO - Kaohsiung J Med Sci VL - 27 IS - 10 N2 - Traumatic spinal subdural hematoma is rare and its mechanism remains unclear. This intervention describes a patient with mental retardation who was suffering from back pain and progressive weakness of the lower limbs following a traffic accident. Magnetic resonance imaging of the spine revealed a lumbar subdural lesion. Hematoma was identified in the spinal subdural space during an operation. The muscle power of both lower limbs recovered to normal after surgery. The isolated traumatic spinal subdural hematoma was not associated with intracranial subdural hemorrhage. A spinal subdural hematoma should be considered in the differential diagnosis of spinal cord compression, especially for patients who have sustained spinal trauma. Emergency surgical decompression is usually the optimal treatment for a spinal subdural hematoma with acute deterioration and severe neurological deficits. SN - 2410-8650 UR - https://www.unboundmedicine.com/medline/citation/21943822/Traumatic_subdural_hematoma_in_the_lumbar_spine_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1607-551X(11)00130-6 DB - PRIME DP - Unbound Medicine ER -