Spontaneous spinal subdural hematoma.

J Neurosurg Sci

Divisione Clinicizzata di Neurochirurgia, Università di Padova, Ospedale Regionale Treviso, Italy.

Published: September 1994

AI Article Synopsis

  • A case study is presented involving a spontaneous spinal subdural hematoma, initially misdiagnosed as subarachnoid hemorrhage due to similar clinical signs and lab findings, including bloody cerebrospinal fluid (CSF) from a lumbar puncture.
  • MRI imaging provided a definitive diagnosis, leading to the decision against surgical intervention, as the spinal compression resolved naturally within a week.
  • The report also addresses potential causes for the hematoma, challenges in diagnosis, and considerations for when surgical decompression might be necessary.

Article Abstract

A case of spontaneous spinal subdural hematoma is reported. Clinical signs at onset, laboratory investigations and bloody CSF at lumbar punction were suggesting of subarachnoid hemorrhage. MRI was fully diagnostic. Surgery was ruled out and spinal compression cleared spontaneously over one week. Etiological factors, possible diagnostic pittfalls and the indication surgical decompression are discussed.

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