Concomitant Cranial and Lumbar Subdural Hematomas - Case Report
Concomitant Cranial and Lumbar Subdural Hematomas - Case Report
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DOI：
10.2176/nmc.50.402
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发表时间：
2010-05-01
影响因子：
1.9
通讯作者：
Teramoto, Akira
中科院分区：
文献类型：
--
作者：
Kim, Kyongsong;Katsuno, Makoto;Teramoto, Akira
一位24岁的女性在滑雪时摔倒，头部和下背部受到撞击，随后出现脊柱和双侧颅内硬膜下血肿（SDHs）。她出现腰痛和体位性头痛。磁共振成像显示双侧颅内SDH和脊柱SDH。患者症状改善，血肿逐渐消失，无需治疗，于事故发生后5个月完全消失。包括我们在内，仅有18例患者同时发生颅内SDH和脊柱SDH，其中6例有外伤。伴有sdh的机制尚未明确，但血肿从颅内向脊柱部位的迁移可能是一个重要的机制。在我们的病人中，低脑脊液压综合征和双重创伤也可能涉及。
A 24-year-old woman presented with concomitant spinal and bilateral intracranial subdural hematomas (SDHs) after hitting her head and lower back in a fall while snowboarding. She developed lower back pain and posture headache. Magnetic resonance imaging revealed bilateral intracranial SDHs and spinal SDH. Her symptoms improved and all hematomas resolved gradually without treatment, and completely disappeared by 5 months after the accident. Simultaneous intracranial SDH and spinal SDH have been reported in only 18 patients, including ours, of whom 6 had suffered trauma. The mechanism of concomitant SDHs has not been clarified, but migration of the hematoma from the intracranial to spinal sites may be an important mechanism. In our patient, low cerebrospinal fluid pressure syndrome and double trauma may also have been involved.