Traumatic spinal subdural hematoma with spontaneous resolution.

Kuo Sheng Hung, Chun Chung Lui, Cheng Haung Wang, Ching Jen Wang, Shen Long Howng

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

STUDY DESIGN: A case report with a literature review is presented. OBJECTIVE: To describe and review the clinical presentations, characteristic findings from imaging studies, and treatment of traumatic spinal subdural hematoma. SUMMARY OF BACKGROUND DATA: Traumatic spinal subdural hematoma is uncommon, and only eight cases have been reported in the literature. Concomitant intracranial and spinal subdural hematoma in the same patient has not been well studied. METHODS: A case of concomitant spinal and intracranial subdural hematoma is reported as well as a review of the literature. RESULTS: Including our patient, we found that five of the nine patients with traumatic spinal subdural hematoma also had intracranial hematoma. We hypothesize that the mechanism of traumatic spinal subdural hematoma may be associated with intracranial events. Recognition of blood products in magnetic resonance imaging scans is important to distinguish spinal subdural hematoma from other spinal lesions. It is generally agreed that prompt laminectomy with evacuation of hematoma should be performed before irreversible damage to the spinal cord occurs. However, including our patient, three of the nine reported cases with thoracic or lumbar subdural hematoma resolved spontaneously with conservative treatment. CONCLUSIONS: This 12-year-old boy illustrated the rapid spontaneous resolution of traumatic subdural hematoma in both left hemisphere and lumbar spine with conservative treatment. This report suggests a possible role of conservative management for traumatic lumbar subdural hematoma, especially when the patients already have neurologic recovery.

Original languageEnglish
JournalSpine
Volume27
Issue number24
Publication statusPublished - Dec 15 2002
Externally publishedYes

Fingerprint

Spinal Subdural Hematoma
Subdural Hematoma
Intracranial Subdural Hematoma
Hematoma
Laminectomy
Nervous System
Spinal Cord
Spine
Thorax
Magnetic Resonance Imaging

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Hung, K. S., Lui, C. C., Wang, C. H., Wang, C. J., & Howng, S. L. (2002). Traumatic spinal subdural hematoma with spontaneous resolution. Spine, 27(24).

Traumatic spinal subdural hematoma with spontaneous resolution. / Hung, Kuo Sheng; Lui, Chun Chung; Wang, Cheng Haung; Wang, Ching Jen; Howng, Shen Long.

In: Spine, Vol. 27, No. 24, 15.12.2002.

Research output: Contribution to journalArticle

Hung, KS, Lui, CC, Wang, CH, Wang, CJ & Howng, SL 2002, 'Traumatic spinal subdural hematoma with spontaneous resolution.', Spine, vol. 27, no. 24.
Hung KS, Lui CC, Wang CH, Wang CJ, Howng SL. Traumatic spinal subdural hematoma with spontaneous resolution. Spine. 2002 Dec 15;27(24).
Hung, Kuo Sheng ; Lui, Chun Chung ; Wang, Cheng Haung ; Wang, Ching Jen ; Howng, Shen Long. / Traumatic spinal subdural hematoma with spontaneous resolution. In: Spine. 2002 ; Vol. 27, No. 24.
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