Surgical treatment of progressive cauda equina compression caused by spontaneous spinal subdural hematoma: A case report.

ABSTRACT:

Rationale

Spontaneous spinal subdural hematoma (SSDH) without an underlying pathology is a very rare condition. The treatment protocol for SSDH is early diagnosis and treatment before irreversible damage to neural tissue. However, there is no agreement on the etiopathogenesis, as well as the need for surgery to treat spontaneous SSDH. Here, we report a rare case of spontaneous SSDH with progressive deterioration and symptoms of cauda equina syndrome after ineffective conservative treatment.

Patient's concern

A 38-year-old male patient presented with sudden lower back and bilateral leg pain.

Diagnosis

A magnetic resonance imaging (MRI) scan on the third day after the onset of symptoms revealed a subdural hematoma from L1 to S1, presenting as hyperintensities on T1 weig

SUBMITTER: Li X 

PROVIDER: S-EPMC6708805 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature