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Journal of Spine

Journal of Spine

ISSN: 2165-7939

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Spinal Subdural Hematoma Top Open Access Journals

Spontaneous subdural hematoma (SSDH) is a rare disease, strictly speaking. In addition, cases that arise spontaneously in the absence of an identifiable etiology are considerably less frequent and remain poorly understood. Here, we present the case of a 43-year-old man with spontaneous sSDH presenting with acute low back pain and paraplegia. Urgent magnetic resonance imaging identified a dorsal SDH from T8 to T11 with compression of the spinal cord. Emerging T8 - T10 laminectomies with intradural exploration and hematoma evacuation were performed. However, despite early identification and appropriate measures, the patient's recovery was modest and significant disability remained on discharge. This unique and unusual case demonstrates that spontaneous sSDH requires rapid surgical treatment to minimize the associated morbidity and supports the association between the presence of severe neurological deficits during initial presentation with less favorable results. We performed a comprehensive systematic review of spontaneous sSDH of unknown etiology, which demonstrates that emergent surgery is indicated for patients with severe neurological deficits and that the presence of these deficits is predictive of poor neurological outcome. In addition, conservative management should be considered in patients with mild neurological deficits since spontaneous resolution followed by favorable neurological results is often observed in these patients.

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Citations: 2022

Journal of Spine received 2022 citations as per Google Scholar report

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