Turkish Neurosurgery 2012 , Vol 22 , Num 3
Simultaneous Cranial Subarachnoid Hemorrhage and Spinal Subdural Hematoma
Ahmet METE1, Ibrahim ERKUTLU2, Aylin AKCALI3, Alper METE4
1Gaziantep University, Faculty of Medicine, Department of Radiology, Gaziantep, Turkey
2Gaziantep University, Faculty of Medicine, Department of Neurosurgery, Gaziantep, Turkey
3Gaziantep University, Faculty of Medicine, Department of Neurology, Gaziantep, Turkey
4Gaziantep University, Faculty of Medicine, Department of Ophthalmology, Gaziantep, Turkey
DOI : 10.5137/1019-5149.JTN.3187-10.2 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. Keywords : Spinal subdural hematoma, Cranial subarachnoid haemorrhage, MRI, Spinal cord compression
Corresponding author : Ahmet Mete, dr.meteahmet@gmail.com