Abstract
A 48-year-old woman presented low-back pain radiating to the lower right leg. Magnetic resonance imaging (MRI) of the lumbar spine revealed a L4-L5 subacute subdural hematoma (SDH). The patient had no general or local cause for this lumbar SDH, such as coagulation disorder, trauma, surgery, or lumbar puncture. She had a history of post-traumatic bilateral hemorrhagic contusions of the brain and intracranial SDH because of a fall occurring several months before the current problems. A downward migration of the cerebral SDH was found as only potential explanation of the lumbar SDH. The association between the intracranial and spinal hematomas is discussed.
Get full access to this article
View all access options for this article.
References
1.
Kreppel
D
,
Antoniadis
G
,
Seeling
W
. Spinal hematoma: a literature survey with meta-analysis of 613 patients . Neurosurg Rev 2003 ; 26 : 1 -49
2.
Bortolotti
C
,
Wang
H
,
Fraser
K
Subacute spinal subdural hematoma after spontaneous resolution of cranial subdural hematoma: causal relationship or coincidence? J Neurosurg 2004 ; 100 : 372 -4
3.
Hung
KS
,
Lui
CC
,
Wang
CH
Traumatic spinal subdural hematoma with spontaneous resolution . Spine 2002 ; 27 : 534 -8
4.
Lecouvet
F
,
Annet
L
,
Duprez
T
Uncommon magnetic resonance imaging observation of lumbar subdural hematoma with cranial origin . J Comput Assist Tomogr 200; 27 : 530 -3
5.
Sari
A
,
Sert
B
,
Dinc
H
Subacute spinal subdural hematoma associated with intracranial subdural hematoma . J Neuroradiol 2006 ; 33 : 67 -9
6.
Kim
K
,
Katsuno
M
,
Isu
T
Concomitant cranial and lumbar subdural hematomas . Neurol Med Chir Tokyo 2010 ; 50 : 402 -4
7.
Moscovici
S
,
Paldor
I
,
Ramirez de-Noriega
F
Do cranial subdural hematomas migrate to the lumbar spine? J Clin Neurosci 2011 ; 18 : 563 -5