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Journal of Korean Neurosurgical Society > Volume 45(6); 2009 > Article
Journal of Korean Neurosurgical Society 2009;45(6): 390-393.
doi: https://doi.org/10.3340/jkns.2009.45.6.390
Acute Spinal Subdural Hematoma Presenting with Spontaneously Resolving Hemiplegia.
Seung Hun Oh, In Bo Han, Young Ho Koo, Ok Joon Kim
1Department of Neurology, CHA Bundang Medical Center, CHA University College of Medicine, Seongnam, Korea. okjun77@cha.ac.kr
2Department of Neurosurgery, CHA Bundang Medical Center, CHA University College of Medicine, Seongnam, Korea.
ABSTRACT
Although prompt diagnosis and emergent surgical intervention are important in acute spinal subdural hematoma (SSDH), some cases with spontaneous remission of symptom and hematoma without surgery have been reported. We present a case of acute nontraumatic SSDH presenting with transient left hemiplegia for 4 hours. A magnetic resonance imaging study of cervical spine confirmed SSDH with C3-6 cervical cord compression at the left side. The patient had conservative management without recurrence. Although hemiplegia is an unusual clinical manifestation of SSDH, it should be differentiated from that of cerebrovascular origin promptly. Conservative management may be an alternative therapeutic option for selective cases with transient neurological deficits.
Key Words: Spinal subdural hematoma; Hemiplegia; Cervical
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