TY - JOUR T1 - A delayed-onset intracranial chronic subdural hematoma following a lumbar spinal subdural hematoma: A case report. AU - Uto,Takaaki, AU - Yonezawa,Noritaka, AU - Komine,Nobuhiko, AU - Tokuumi,Yuji, AU - Torigoe,Keiichiro, AU - Koda,Yukihiko, AU - Tsuchiya,Hiroyuki, PY - 2018/9/22/entrez PY - 2018/9/22/pubmed PY - 2018/10/4/medline SP - e12479 EP - e12479 JF - Medicine JO - Medicine (Baltimore) VL - 97 IS - 38 N2 - RATIONALE: A spinal subdural hematoma (SDH) is rarely complicated with an intracranial SDH. We found only 7 cases of spontaneous concurrent lumbar spinal and cranial SDHs, in which lumbar symptoms occurred before head symptoms. PATIENT CONCERNS: We describe a 77-year-old man with spontaneous concurrent spinal and cranial SDHs, in whom the spinal SDH was identified 30 days before the intracranial chronic SDH. DIAGNOSIS: Magnetic resonance imaging showed a spinal SDH at L4/L5. There was no paralysis, and the patient was managed conservatively. About 30 days after the onset of back pain, he experienced tinnitus and visual hallucination. Brain computed tomography showed a chronic SDH and midline shift. INTERVENTIONS: Burr-hole evacuation was performed, and the patient's condition improved. OUTCOMES: At 5 months of follow-up, there was no recurrence of the spinal or intracranial SDH. LESSONS: It is important to consider the possibility of intracranial hemorrhage when a spinal SDH is identified. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/30235747/A_delayed_onset_intracranial_chronic_subdural_hematoma_following_a_lumbar_spinal_subdural_hematoma:_A_case_report_ DB - PRIME DP - Unbound Medicine ER -