Al-Khalidi Hasanain A, Hassoun Hayder K, Aljid Zahra, Allebban Zuhair
Middle Euphrates Neurosciences Center, KufaUniversity-Faculty of Medicine, Kufa, Iraq.
Middle Euphrates Unit for Cancer Research, Kufa University-Faculty of Medicine, Kufa, Iraq.
Case Rep Neurol. 2024 Nov 29;16(1):294-303. doi: 10.1159/000528310. eCollection 2024 Jan-Dec.
Neurological complication due to coronavirus disease 2019 (COVID-19) is accumulating and compressive myelopathy due to spinal subdural hematoma (SSDH) is rarely reported in association with COVID-19.
A 55-year-old male was presented with sudden onset of areflexic paraparesis, urinary retention, loss of all sensations below twelve spinal thoracic segments, and severe back pain. This condition necessitated an immediate order of a spinal cord MRI followed by an urgent surgery, which was crucial to save the spinal cord. COVID-19 was confirmed by a positive reverse-transcription-polymerase chain reaction and spinal MRI showed SSDH.
For a patient who presents with acute onset of severe back pain and myelopathy without a history of trauma, SSDH should be suspected. Additionally, coagulopathy associated with COVID-19 infection should increase the suspicion of SSDH which needs immediate surgical treatment to save the spinal cord.
2019冠状病毒病（COVID-19）所致神经并发症日益增多，而脊髓硬膜下血肿（SSDH）导致的压迫性脊髓病与COVID-19相关的报道很少。
一名55岁男性，突发无反射性截瘫、尿潴留、胸12以下节段全部感觉丧失及严重背痛。这种情况需要立即进行脊髓MRI检查并随后进行紧急手术，这对挽救脊髓至关重要。逆转录聚合酶链反应呈阳性证实感染COVID-19，脊髓MRI显示为SSDH。
对于急性起病、严重背痛且无创伤史的脊髓病患者，应怀疑SSDH。此外，与COVID-19感染相关的凝血病应增加对SSDH的怀疑，SSDH需要立即手术治疗以挽救脊髓。
