J Korean Neurosurg Soc.  2012 Apr;51(4):237-239. 10.3340/jkns.2012.51.4.237.

Spontaneous Concomitant Intracranial and Spinal Subdural Hematomas in Association with Anticoagulation Therapy

• Wang US
• Ju CI
• Kim SW
• Kim SH

• KMID: 2066919
• DOI: http://doi.org/10.3340/jkns.2012.51.4.237

Abstract

Simultaneous intracranial and spinal subdural hematomas are extremely rare. In most cases, they are attributed to major or minor trauma and iatrogenic causes, such as those resulting from spinal puncture. To the best of the authors' knowledge, there has been only two reports of spontaneous concomitant intracranial and spinal subdural hematomas in a patient receiving anticoagulant therapy who had an absence of evident trauma history. We report on a case of spontaneous concomitant intracranial and spinal subdural hematomas that occurred in association with anticoagulant therapy and present a review of the relevant literature.

Keyword

Cranial; Spinal; Subdural hematoma; Anticoagulant therapy

MeSH Terms

Hematoma, Subdural
Hematoma, Subdural, Spinal
Humans
Spinal Puncture

Figure

• 

  Fig. 1 Radiological findings of brain (pretreatment). T2 and fluid-attenuated inversion recovery magnetic resonance images show mixed signal intensity spinal subdural hematoma in left fronto-temporo-parietal area.

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  Fig. 2 Radiological findings of spine (pretreatment). T2 and T1 weighted sagittal images reveal intradural lesion compressing the cauda equina at L4-S1 level (arrows).

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  Fig. 3 Radiological findings after treatment. A : Brain computed tomographic scan taken 14 days after hematoma drainage shows complete removal of hematoma. B and C : Magnetic resonance images taken 14 days after admission reveals complete resolution of hematoma.

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