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KMID : 1143720140100020146
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Korean Journal of Neurotrauma
2014 Volume.10 No. 2 p.146 ~ p.148
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Traumatic Spinal Subdural Hematoma with Intracranial Subdural Hematoma
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Kim Hyun-Gon
Kim Tae-Wan
Park Kwan-Ho
Chi Moon-Pyo
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Abstract
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Traumatic spinal subdural hematoma associated with intracranial subdural hematoma is a rare condition. Herein, we report the case of a 62-year-old man with lower back pain, radiating pain, and numbness in both lower extremities, without motor weakness, for 2 weeks. Lumbar magnetic resonance imaging (MRI) revealed high signal intensity on T1-weighted image (WI), and low signal intensity on T2-WI from L2 to L5. Two weeks after conservative management, follow-up lumbar MRI did not show the hematoma and his symptoms were relieved and there was no neurological deficit; therefore, he was discharged. However, subsequently, intracranial subdural hematoma increased and upper extremity motor weakness appeared. This was treated surgically. If there is no neurological deficit, conservative treatment may be a good option. Follow-up evaluation for asymptomatic cranial subdural hematoma is necessary.
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KEYWORD
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Hematoma subdural intracranial, Hematoma subdural spinal, Spinal cord injuries, Injuries
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