TY - JOUR T1 - Lumbosacral Subdural Hematoma and Concomitant Acute Lower Extremity Monoparesis After Intracranial Aneurysmal Subarachnoid Hemorrhage. AU - Choi,Dae Han, AU - Kim,Myeong Jin, AU - Yoo,Chan Jong, AU - Park,Cheol Wan, Y1 - 2016/08/29/ PY - 2016/06/03/received PY - 2016/08/19/revised PY - 2016/08/20/accepted PY - 2016/9/3/pubmed PY - 2017/10/3/medline PY - 2016/9/3/entrez KW - Intracranial aneurysm KW - Paresis KW - Spinal subdural hematoma KW - Subarachnoid hemorrhage SP - 616.e15 EP - 616.e19 JF - World neurosurgery JO - World Neurosurg VL - 95 N2 - BACKGROUND: Spinal subdural hematoma (SDH) secondary to intracranial aneurysmal subarachnoid hemorrhage (SAH) occurs rarely and can cause neurologic deficits. CASE DESCRIPTION: A 52-year-old man was diagnosed with SAH caused by rupture of an anterior communicating artery aneurysm. The aneurysm was treated by coil embolization on the day of admission. After embolization, the patient's left lower extremity strength had decreased and a spinal magnetic resonance imaging showed subarachnoid hematoma and SDH with severe thecal sac compression at L4-S2. On postbleed day 6, L4-S1 laminectomy was performed, and the strength in all muscle of the left leg improved. CONCLUSIONS: Rupture of an intracranial aneurysm may cause symptomatic SDH in the lumbosacral spine as well as subarachnoid hematoma. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/27586173/Lumbosacral_Subdural_Hematoma_and_Concomitant_Acute_Lower_Extremity_Monoparesis_After_Intracranial_Aneurysmal_Subarachnoid_Hemorrhage_ DB - PRIME DP - Unbound Medicine ER -