Simultaneous cranial subarachnoid hemorrhage and spinal subdural hematoma.

Abstract

We report a rare case of simultaneous cranial subarachnoid and spinal subdural hematoma (SDH) in a 42-year-old man who was on Warfarin therapy after cardiac bypass surgery. Computed tomography at presentation revealed a cranial subarachnoid hemorrhage, and spinal Magnetic Resonance Imaging (MRI) showed a spinal SDH extending from the T6 to L5 segments. He had paraparesis due to spinal cord compression. The patient was managed conservatively due to his poor general condition and was infused with intravenous steroid therapy, but he experienced sudden cardiac arrest 5 hours later after being admitted to the hospital. This case is of interest because of its first presentation of spinal subdural hematoma and cranial subarachnoid hemorrhage simultaneously and it is also the second longest vertebral segmental spread in the literature.

• Authors: Ahmet Mete, Ibrahim Erkutlu, Aylin Akcali, Alper Mete
• Journal: Turkish neurosurgery (Turk Neurosurg) Vol. 22 Issue 3 Pg. 349-52 ( 2012) ISSN: 1019-5149 [Print] Turkey
• PMID: 22665005 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anticoagulants
• Warfarin

Topics

• Adult
• Anticoagulants (adverse effects)
• Coronary Artery Bypass
• Death, Sudden, Cardiac
• Fatal Outcome
• Hematoma, Subdural, Spinal (chemically induced, complications, pathology)
• Humans
• Magnetic Resonance Imaging
• Male
• Spinal Cord Compression (etiology, pathology)
• Subarachnoid Hemorrhage (chemically induced, complications, pathology)
• Warfarin (adverse effects)