Korean J Spine.  2013 Sep;10(3):203-205. 10.14245/kjs.2013.10.3.203.

Spinal Epidural Hematoma Related to Intracranial Hypotension

• Cha KH
• Cho TG
• Kim CH
• Lee HK
• Moon JG

• KMID: 2140297
• DOI: http://doi.org/10.14245/kjs.2013.10.3.203

Abstract

A 45-year-old female patient visited the hospital complaining of severe sudden headache and posterior neck pain. The patient did not have any traumatic history or abnormal neurologic finding. The patient had sudden quadriplegia and sensory loss. Cervical spine MRI scan was taken, and the compatible findings to acute epidural hematoma were shown. The emergency operation was performed. After the operation, the patient recovered all motor and senses. As there was CSF leakage in the postoperative wound, this was confirmed by cervical spinal computed tomography (CT). Then lumbar drainage was thus performed. The opening pressure upon lumbar puncture was not measured as it was very low. As a result of continous CSF leakage, dural repair was performed. After the operation, the patient had been discharged without neurologic deficits. In this case, it is sensible to suspect intracranial hypotension as a possible cause of spinal EDH.

Keyword

Spinal epidural hematoma; Headache; Neck pain; Cerebrospinal fluid leakage

MeSH Terms

Drainage
Emergencies
Female
Headache
Hematoma
Hematoma, Epidural, Spinal*
Humans
Intracranial Hypotension*
Magnetic Resonance Imaging
Middle Aged
Neck Pain
Neurologic Manifestations
Quadriplegia
Spinal Puncture
Spine