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KMID : 0361620130480050397
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Journal of the Korean Orthopaedic Association
2013 Volume.48 No. 5 p.397 ~ p.401
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Traumatic Lumbosacral Spinal Subdural Hematoma Mimicking Subdural Lipoma: Value of Computed Tomography
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Hwang Sun-Chul
Kim Hyung-Kan
Cho Seong-Hee
Nam Dae-Cheol
Lee Heon-Keun
Park Kyeong-Eon
Na Jae-Boem
Kim Dong-Hee
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Abstract
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Traumatic lumbosacral spinal subdural hematoma due to anatomical and pathological causes is rare, compared to epidural hematoma. If the time of trauma cannot be determined, intracranial and intraspinal signal intensity according to lapse of time are not coincident, resulting in confusion in terms of differentiation. Fat suppression magnetic resonance image (MRI) and computed tomography (CT) are utilized for differentiation. The intention of this study is to report on a case where spinal subdural hematoma of unknown time of occurrence is differentiated from subdural lipoma by taking advantage of fat suppression MRI and CT in order to perform an early surgical decompression with auxiliary review of literature demonstrating good prognosis of the procedure.
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KEYWORD
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lumbosacral spinal subdural hematoma, subdural lipoma, surgical decompression
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