Cui Zhenwen, Zhong Zhihong, Wang Baofeng, Sun Qingsun, Zhong Chunlong, Bian Liuguan
From the *Department of Neurosurgery, Ruijin Hospital, and †Department of Neurosurgery, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
J Craniofac Surg. 2015 Mar;26(2):e118-9. doi: 10.1097/SCS.0000000000001343.
Spinal subdual hematoma (SDH) is an uncommon pathology, and its simultaneous occurrence with cranial SDH is even rarer. We report a unique case of spinal SDH combined with bilateral intracranial SDH, in which the cranial lesion was detected after the evacuation of spinal SDH. The undiagnosed chronic SDH developed acute-on-chronic SDH after the evacuation of spinal SDH. The patient had an uneventful clinical course, and a satisfactory outcome was achieved. The reason for reporting this case is to draw attention to the possibility of concurrent cranial SDH in patients with unexplained spinal SDH. The removal of the spinal SDH may exacerbate intracranial hemorrhage and consequently lead to the potential occurrence of tentorial herniation in patients with accompanied cranial SDH.
脊髓硬膜下血肿（SDH）是一种罕见的病理情况，其与颅内SDH同时发生的情况更为罕见。我们报告了一例独特的脊髓SDH合并双侧颅内SDH的病例，其中颅内病变在脊髓SDH引流后才被发现。未被诊断出的慢性SDH在脊髓SDH引流后发展为慢性硬膜下血肿急性发作。该患者临床过程平稳，取得了满意的结果。报告此病例的原因是提醒注意在不明原因的脊髓SDH患者中并发颅内SDH的可能性。脊髓SDH的清除可能会加重颅内出血，从而导致伴有颅内SDH的患者发生小脑幕切迹疝的潜在风险。
