J Korean Neurosurg Soc.  2009 Apr;45(4):253-255. 10.3340/jkns.2009.45.4.253.

Spontaneous Spinal Subarachnoid Hemorrhage with Spontaneous Resolution

• Kim JS
• Lee SH

• KMID: 1466303
• DOI: http://doi.org/10.3340/jkns.2009.45.4.253

Abstract

Spontaneous spinal subarachnoid hematoma (SSH) is a rare entity to cause spinal cord or nerve root compression and is usually managed as surgical emergencies. We report a case of spontaneous SSH manifesting as severe lumbago, which demonstrated nearly complete clinical resolution with conservative treatment. A 58-year-old female patient developed a large SSH, which was not related to blood dyscrasia, anticoagulation, lumbar puncture, or trauma. Patient had severe lumbago but no neurologic deficits. Because of absence of neurologicl deficits, she was treated conservatively. Follow-up magnetic resonance (MR) image showed complete resolution. Conservative treatment of SSH may be considered if the patient with spontaneous SSH has no neurologic deficits.

Keyword

Spinal subarachnoid hematoma; Spinal cord; Spontaneous

MeSH Terms

Emergencies
Female
Follow-Up Studies
Hematoma
Humans
Low Back Pain
Magnetic Resonance Spectroscopy
Middle Aged
Neurologic Manifestations
Radiculopathy
Spinal Cord
Spinal Puncture
Subarachnoid Hemorrhage