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J Korean Neurosurg Soc. 2015 May;57(5):371-375. English. Case Report. https://doi.org/10.3340/jkns.2015.57.5.371
Jung HS , Jeon I , Kim SW .
Department of Neurosurgery, Yeungnam University College of Medicine, Daegu, Korea. jicns@hanmail.net
Abstract

Spontaneous spinal subdural hematoma is reported at a rare level of incidence, and is frequently associated with underlying coagulopathy or those receiving anticoagulant or antiplatelet agents; some cases accompany concomitant intracranial hemorrhage. The spontaneous development of spinal subdural hemorrhage (SDH) is a neurological emergency; therefore, early diagnosis, the discontinuation of anticoagulant, and urgent surgical decompression are required to enable neurological recovery. In this report, we present a simultaneous spinal subdural hematoma and cranial subarachnoid hemorrhage, which mimicked an aneurysmal origin in a female patient who had been taking warfarin due to aortic valve replacement surgery.

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