Lee Young, Lim Jeongwook, Han Sanghyun, Choi Seung-Won, Youm Jin-Young, Koh Hyeon-Song
Department of Neurosurgery, School of Medicine, Chungnam National University Hospital, Daejeon, Korea.
Korean J Neurotrauma. 2019 Apr 19;15(1):34-37. doi: 10.13004/kjnt.2019.15.e7. eCollection 2019 Apr.
Most cases of spinal subdural hematoma are very rare and result from iatrogenic causes, such as coagulopathy or a spinal puncture. Cases of non-traumatic spinal subdural hematoma accompanied by intracranial hemorrhage are even more rare. There are a few reports of spontaneous spinal subdural hematoma with concomitant intracranial subdural or subarachnoid hemorrhage, but not with intracerebral hemorrhage. Especially in our case, the evaluation and diagnosis were delayed because the spontaneous intracerebral hemorrhage accompanying the unilateral spinal subdural and subarachnoid hemorrhages caused hemiplegia. We report a case of spinal subdural and subarachnoid hemorrhage with concomitant intracerebral hemorrhage, for the first time, with a relevant literature review.
大多数脊髓硬膜下血肿病例非常罕见,多由医源性原因引起,如凝血功能障碍或脊髓穿刺。非创伤性脊髓硬膜下血肿伴有颅内出血的病例更为罕见。有一些关于自发性脊髓硬膜下血肿伴颅内硬膜下或蛛网膜下腔出血的报道,但没有伴脑内出血的。特别是在我们的病例中,由于单侧脊髓硬膜下和蛛网膜下腔出血伴发的自发性脑内出血导致偏瘫,评估和诊断被延迟。我们首次报告一例脊髓硬膜下和蛛网膜下腔出血伴发脑内出血的病例,并进行相关文献综述。