Open AccessAcute Cervical Spinal Subdural Hematoma Not Related to Head Injury
Author(s) -
Hee Yul Kim,
Chang Il Ju,
Seok Won Kim
Publication year - 2010
Publication title -
journal of korean neurosurgical society/journal of korean neurosurgical society/daehan sin'gyeong oegwa hag'hoeji
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.604
H-Index - 34
eISSN - 1598-7876
pISSN - 1225-8245
DOI - 10.3340/jkns.2010.47.6.467
Subject(s) - medicine , hematoma , hypoesthesia , surgery , magnetic resonance imaging , cerebrospinal fluid , lumbar , spinal cord , neck pain , anesthesia , radiology , alternative medicine , pathology , psychiatry
We report an extremely rare case of traumatic cervical spinal subdural hematoma not related to intracranial injury. There has been no report on traumatic cervical spinal subdrual hematoma not related to intracranial injury. A 27-year-old female patient was admitted to our emergency room due to severe neck pain and right arm motor weakness after car collision. On admission, she presented with complete monoplegia and hypoesthesia of right arm. Magnetic resonance imaging (MRI) revealed subdural hematoma compressing spinal cord. Lumbar cerebrospinal fluid (CSF) analysis revealed 210,000 red blood cells/mm(3). She was managed conservatively by administrations of steroid pulse therapy and CSF drainage. Her muscle power of right arm improved to a Grade III 16 days after admission. Follow-up MRI taken 16th days after admission revealed almost complete resolution of the hematoma. Here, the authors report a traumatic cervical spinal SDH not associated with intracranial injury.