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Traumatic Lumbar Subdural Hematoma in the Absence of Intracranial Disease.
World Neurosurg. 2016 Jun; 90:706.e15-706.e18.WN

Abstract

BACKGROUND

Traumatic spinal subdural hematoma is an exceedingly rare condition, with those occurring in the absence of intracranial disease being particularly uncommon. Only 13 such cases have been reported. Although theories exist to describe the pathophysiology of traumatic spinal subdural hematoma, the precise mechanism and guidelines for management remain unclear.

CASE DESCRIPTION

This report describes a 37-year-old woman who suffered a traumatic assault who developed progressive low back pain with radicular symptoms 2 days after presentation. Magnetic resonance imaging revealed a lumbar subdural hematoma extending from L1 to L5. No intracranial disease was detected on imaging.

CONCLUSIONS

Definitive guidelines for management of this condition are uncertain; however, successful use of conservative management, lumbar drainage, and surgical evacuation has been reported. This patient underwent a lumbar laminectomy with evacuation of the hematoma, resulting in immediate pain relief and resolution of symptoms within 1 week of the procedure.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Cooper J
Department of Neurosurgery, New York Medical College, Valhalla, New York, USA.
Gillick JL
Department of Neurosurgery, New York Medical College, Valhalla, New York, USA. Electronic address: johnlgillickmd@gmail.com.
LaBagnara M
Department of Neurosurgery, New York Medical College, Valhalla, New York, USA.
Das K
Department of Neurosurgery, New York Medical College, Valhalla, New York, USA.
Hillard VH
Department of Neurosurgery, New York Medical College, Valhalla, New York, USA.

MeSH

AdultBrain DiseasesCombined Modality TherapyDiagnosis, DifferentialDrainageFemaleHematoma, Subdural, SpinalHumansLaminectomyLow Back PainMagnetic Resonance ImagingRadiculopathySpinal InjuriesTreatment Outcome

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27001235

Citation

Cooper, Jared, et al. "Traumatic Lumbar Subdural Hematoma in the Absence of Intracranial Disease." World Neurosurgery, vol. 90, 2016, pp. 706.e15-706.e18.
Cooper J, Gillick JL, LaBagnara M, et al. Traumatic Lumbar Subdural Hematoma in the Absence of Intracranial Disease. World Neurosurg. 2016;90:706.e15-706.e18.
Cooper, J., Gillick, J. L., LaBagnara, M., Das, K., & Hillard, V. H. (2016). Traumatic Lumbar Subdural Hematoma in the Absence of Intracranial Disease. World Neurosurgery, 90, e15-e18. https://doi.org/10.1016/j.wneu.2016.03.025
Cooper J, et al. Traumatic Lumbar Subdural Hematoma in the Absence of Intracranial Disease. World Neurosurg. 2016;90:706.e15-706.e18. PubMed PMID: 27001235.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Traumatic Lumbar Subdural Hematoma in the Absence of Intracranial Disease. AU - Cooper,Jared, AU - Gillick,John L, AU - LaBagnara,Michael, AU - Das,Kaushik, AU - Hillard,Virany H, Y1 - 2016/03/18/ PY - 2016/01/11/received PY - 2016/03/09/revised PY - 2016/03/10/accepted PY - 2016/3/23/entrez PY - 2016/3/24/pubmed PY - 2017/8/31/medline KW - Hematoma KW - Lumbar KW - Spine KW - Subdural KW - Trauma SP - 706.e15 EP - 706.e18 JF - World neurosurgery JO - World Neurosurg VL - 90 N2 - BACKGROUND: Traumatic spinal subdural hematoma is an exceedingly rare condition, with those occurring in the absence of intracranial disease being particularly uncommon. Only 13 such cases have been reported. Although theories exist to describe the pathophysiology of traumatic spinal subdural hematoma, the precise mechanism and guidelines for management remain unclear. CASE DESCRIPTION: This report describes a 37-year-old woman who suffered a traumatic assault who developed progressive low back pain with radicular symptoms 2 days after presentation. Magnetic resonance imaging revealed a lumbar subdural hematoma extending from L1 to L5. No intracranial disease was detected on imaging. CONCLUSIONS: Definitive guidelines for management of this condition are uncertain; however, successful use of conservative management, lumbar drainage, and surgical evacuation has been reported. This patient underwent a lumbar laminectomy with evacuation of the hematoma, resulting in immediate pain relief and resolution of symptoms within 1 week of the procedure. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/27001235/Traumatic_Lumbar_Subdural_Hematoma_in_the_Absence_of_Intracranial_Disease_ DB - PRIME DP - Unbound Medicine ER -