Moon Wonjun, Joo Wonil, Chough Jeongki, Park Haekwan
Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
J Korean Neurosurg Soc. 2013 Jul;54(1):68-70. doi: 10.3340/jkns.2013.54.1.68. Epub 2013 Jul 31.
A 39-year old female presented with chronic spinal subdural hematoma manifesting as low back pain and radiating pain from both legs. Magnetic resonance imaging (MRI) showed spinal subdural hematoma (SDH) extending from L4 to S2 leading to severe central spinal canal stenosis. One day after admission, she complained of nausea and severe headache. Computed tomography of the brain revealed chronic SDH associated with midline shift. Intracranial chronic SDH was evacuated through two burr holes. Back pain and radiating leg pain derived from the spinal SDH diminished about 2 weeks after admission and spinal SDH was completely resolved on MRI obtained 3 months after onset. Physicians should be aware of such a condition and check the possibility of concurrent cranial SDH in patients with spinal SDH, especially with non-traumatic origin.
一名39岁女性因慢性脊髓硬膜下血肿就诊，表现为腰痛及双下肢放射性疼痛。磁共振成像（MRI）显示脊髓硬膜下血肿（SDH）从L4延伸至S2，导致严重的中央椎管狭窄。入院一天后，她主诉恶心及严重头痛。脑部计算机断层扫描显示慢性SDH伴中线移位。通过两个钻孔清除颅内慢性SDH。入院约2周后，源于脊髓SDH的背痛及下肢放射性疼痛减轻，发病3个月后MRI显示脊髓SDH完全消退。医生应意识到这种情况，并检查脊髓SDH患者，尤其是非创伤性起源患者并发颅内SDH的可能性。
