Spinal subdural hematomas in a normal child without trauma history: a case report
Iranian Journal of Child Neurology,
Vol. 13 No. 3 (2019),
1 July 2019
,
Page 121-124
https://doi.org/10.22037/ijcn.v13i3.17319
Abstract
Acute Spinal Subdural Hematoma (ASSH) is a rarely recognized condition that may result in severe irreversible neurologic complication. We presented a 7-year old girl was transferred to our hospital with limping and pain in lower extremities and acute paraplegia without history of direct trauma. The patient's lower limbs weakened. She was unable to bear weight. Deep Tendon Reflexes(DTR) in lower extremities had increased. Her MRI showed spinal subdural hematoma we reextended from T2 to T6. We performed laminectomy from T2 to T5 and about 70 cc of subdural hematoma was evacuated. After a month after the operation, the patient's neurological deficit resolved completely. The case illustrates the need of attention to clinical manifestation of acute spinal subdural hematoma and early diagnosis to prevent irreversible neurologic complication.
- Acute Spinal Subdural Hematoma
- acute paraplegia
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References
Kirkpatrick D GS. Combined subarachnoid and subdural spinal hematoma following spinal puncture. . Surg Neural 1975;3: 109-111.
M. Judith Donovan Post JLB, Parley W. Madsen, William Puckett, Robert M. Quencer, R. P. Bunge, and Evelyn M. L. Sklar , . Acute Spinal Subdural Hematoma: .MR and CT Findings with Pathologic Correlates. AJNR Am J Neuroradiol. Nov1994;15:1895-1905.
Park J-Y, K-SM, Jung-Kil Lee, Kyung-Woon Jeung. Rapid resolution of acute subdural hematoma in child with severe head injury: a case report. Journal of Medical Case Reports 2013;7:67.
P Koumellis NSM, T Jaspa. Spinal subdural haematomas in children with nonaccidental head injury. Arch Dis Child. 2009;94:216-219.
Eftekhar B GM, Ketabchi E, Bakhtiari A, Mostajabi P. Spinal subdural hematoma revealing hemophilia A in a child: A case report. BMC Blood Disord. 2003 Aug; 7;3(1):2.
Guthikonda M SH, Wallman LJ, Snyder TM. . Spinal subdural hematoma: case report and review of the literature. Neurosurgery. 1979 Nov;5(5):614-6.
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