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Spontaneous thoracic ventral spinal subdural hematoma mimicking a tumoral lesion: a case report.
J Med Case Rep. 2015 Jun 06; 9:132.JM

Abstract

INTRODUCTION

Spinal subdural hematoma is rare and can cause serious neurological symptoms. Sometimes, idiopathic spinal subdural hematoma can spontaneously occur without any identifiable underlying etiologies. In this report, we present such an uncommon case of paraplegia caused by idiopathic spinal subdural hematoma that was successfully managed by laminectomy.

CASE PRESENTATION

A 45-year-old Chinese woman presented with sudden onset of progressive asthenia and numbness in both lower extremities, accompanied by difficulty in micturition. An initial non-contrast spinal magnetic resonance imaging at a local hospital suggested a spinal subdural tumoral hematoma at the T9 level. She was referred to our hospital and an emergency laminectomy from T8 to T10 was performed 22 hours after onset of her initial symptoms. However, nothing but a hematoma was identified during the operation, and a final diagnosis of spontaneous acute spinal subdural hematoma was concluded. She had partial return of sensations and voluntary movement after the operation.

CONCLUSIONS

On imaging findings, spinal subdural hematoma could manifest as focal and independent from the dura matter, and, therefore, it should be included in the differential diagnosis of medullary compressive lesions.

Authors+Show Affiliations

Department of Neurosurgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China. zyjbull@gmail.com.Department of Neurosurgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China. pengdeqing@zju.edu.cn.Department of Neurosurgery, Ningbo No.2 Hospital, Ningbo, Zhejiang, 315010, China. fshen@aliyun.com.Department of Physiology, Zhejiang University School of Medicine, Hangzhou, 310009, China. wanglinlin2002@hotmail.com.Department of Neurosurgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China. t.zhuxiao@163.com.Department of Neurosurgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China. neurosurgery@zju.edu.cn.

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26048171

Citation

Zhu, Yong-Jian, et al. "Spontaneous Thoracic Ventral Spinal Subdural Hematoma Mimicking a Tumoral Lesion: a Case Report." Journal of Medical Case Reports, vol. 9, 2015, p. 132.
Zhu YJ, Peng DQ, Shen F, et al. Spontaneous thoracic ventral spinal subdural hematoma mimicking a tumoral lesion: a case report. J Med Case Rep. 2015;9:132.
Zhu, Y. J., Peng, D. Q., Shen, F., Wang, L. L., Tang, Z. X., & Zhang, J. M. (2015). Spontaneous thoracic ventral spinal subdural hematoma mimicking a tumoral lesion: a case report. Journal of Medical Case Reports, 9, 132. https://doi.org/10.1186/s13256-015-0562-3
Zhu YJ, et al. Spontaneous Thoracic Ventral Spinal Subdural Hematoma Mimicking a Tumoral Lesion: a Case Report. J Med Case Rep. 2015 Jun 6;9:132. PubMed PMID: 26048171.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous thoracic ventral spinal subdural hematoma mimicking a tumoral lesion: a case report. AU - Zhu,Yong-Jian, AU - Peng,De-Qing, AU - Shen,Fang, AU - Wang,Lin-Lin, AU - Tang,Zhu-Xiao, AU - Zhang,Jian-Min, Y1 - 2015/06/06/ PY - 2014/09/24/received PY - 2015/03/03/accepted PY - 2015/6/7/entrez PY - 2015/6/7/pubmed PY - 2016/3/26/medline SP - 132 EP - 132 JF - Journal of medical case reports JO - J Med Case Rep VL - 9 N2 - INTRODUCTION: Spinal subdural hematoma is rare and can cause serious neurological symptoms. Sometimes, idiopathic spinal subdural hematoma can spontaneously occur without any identifiable underlying etiologies. In this report, we present such an uncommon case of paraplegia caused by idiopathic spinal subdural hematoma that was successfully managed by laminectomy. CASE PRESENTATION: A 45-year-old Chinese woman presented with sudden onset of progressive asthenia and numbness in both lower extremities, accompanied by difficulty in micturition. An initial non-contrast spinal magnetic resonance imaging at a local hospital suggested a spinal subdural tumoral hematoma at the T9 level. She was referred to our hospital and an emergency laminectomy from T8 to T10 was performed 22 hours after onset of her initial symptoms. However, nothing but a hematoma was identified during the operation, and a final diagnosis of spontaneous acute spinal subdural hematoma was concluded. She had partial return of sensations and voluntary movement after the operation. CONCLUSIONS: On imaging findings, spinal subdural hematoma could manifest as focal and independent from the dura matter, and, therefore, it should be included in the differential diagnosis of medullary compressive lesions. SN - 1752-1947 UR - https://www.unboundmedicine.com/medline/citation/26048171/Spontaneous_thoracic_ventral_spinal_subdural_hematoma_mimicking_a_tumoral_lesion:_a_case_report_ DB - PRIME DP - Unbound Medicine ER -