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KMID : 1001920090450040253
Journal of Korean Neurosurgical Society
2009 Volume.45 No. 4 p.253 ~ p.255
Spontaneous Spinal Subarachnoid Hemorrhage with Spontaneous Resolution
Kim Jin-Sung

Lee Sang-Ho
Abstract
Spontaneous spinal subarachnoid hematoma (SSH) is a rare entity to cause spinal cord or nerve root compression and is usually managed as surgical emergencies. We report a case of spontaneous SSH manifesting as severe lumbago, which demonstrated nearly complete clinical resolution with conservative treatment. A 58-year-old female patient developed a large SSH, which was not related to blood dyscrasia, anticoagulation, lumbar puncture, or trauma. Patient had severe lumbago but no neurologic deficits. Because of absence of neurologicl deficits, she was treated conservatively. Follow-up magnetic resonance (MR) image showed complete resolution. Conservative treatment of SSH may be considered if the patient with spontaneous SSH has no neurologic deficits.
KEYWORD
Spinal subarachnoid hematoma, Spinal cord, Spontaneous
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