Spontaneous Spinal Subdural Hematoma with Simultaneous Cranial Subarachnoid Hemorrhage

• Published in: Journal of Korean Neurosurgical Society Vol. 57; no. 5; pp. 371 - 375
• Main Authors: Jung, Hwan-Su, Jeon, Ikchan, Kim, Sang Woo
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Neurosurgical Society 01.05.2015; 대한신경외과학회
• Subjects: Case Report; 신경외과학; Spinal subdural hematoma; Subarachnoid hemorrhage; Spontaneous
• ISSN: 2005-3711; 1598-7876
• DOI: 10.3340/jkns.2015.57.5.371

Spontaneous spinal subdural hematoma is reported at a rare level of incidence, and is frequently associated with underlying coagulopathy or those receiving anticoagulant or antiplatelet agents; some cases accompany concomitant intracranial hemorrhage. The spontaneous development of spinal subdural hemorrhage (SDH) is a neurological emergency; therefore, early diagnosis, the discontinuation of anticoagulant, and urgent surgical decompression are required to enable neurological recovery. In this report, we present a simultaneous spinal subdural hematoma and cranial subarachnoid hemorrhage, which mimicked an aneurysmal origin in a female patient who had been taking warfarin due to aortic valve replacement surgery.