Non-traumatic Spontaneous Spinal Subdural Hematoma in a Patient with Acute Paraplegia

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dc.authoridAli Sağlık / 0000-0002-3216-0303en_US
dc.authoridFahir Şencan / 0000-0001-5519-5560en_US
dc.authoridTufan Akın Giray / 0000-0003-4619-4034en_US
dc.authoridTarık Ocak / 0000-0003-4721-8616en_US
dc.authorscopusidFahir Şencan / 56214987800en_US
dc.authorwosidTarık Ocak / FNG-3153-2022en_US
dc.authorwosidTufan Akın Giray / AGQ-5015-2022
dc.authorwosidAli Sağlık / AFS-1962-2022
dc.authorwosidFahir Şencan / HJY-2940-2023
dc.contributor.authorSağlık, Ali
dc.contributor.authorŞencan, Fahir
dc.contributor.authorGiray, Tufan Akın
dc.contributor.authorOcak, Tarık
dc.date.accessioned2022-11-11T08:15:37Z
dc.date.available2022-11-11T08:15:37Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Hastaneen_US
dc.description.abstractAcute non-traumatic spinal subdural hematoma (SSDH) is a rare clinical condition in the emergency medicine practice and difficult to diagnose during the primary physical examination. It mostly occurs at thoracal vertebra levels due to trauma, use of anticoagulants, medical procedures such as acupuncture, arteriovenous malformations, hematological disorders or space-occupying lesions. Here, we discussed an elderly female patient who was not on anticoagulant and described sudden loss of muscle strength and sensation in both lower extremities. Initial laboratory and imaging including brain computerized tomography (CT) and magnetic resonance imaging (MRI) were in normal range. Patient's secondary examination revealed anesthesia under the T4 dermatome level. Cervical spine-MRI in Spin Eco (SE) T1, Fast Spin Eco (FSE) T2 in sagittal plane; SE T1 weighted in axial and sagittal planes revealed a subdural hematoma significantly compressing the spinal cord on the C7-T1 dermatome segments. Any emergency neurosurgical intervention was not considered and the patient was interned in the neurosurgical clinic for conservative treatment and further examination. Patient, with no progress seen in consecutive MRI scans, was discharged after offering an outpatient check-up. We recommend secondary physical examination in emergency department (ED). In the case of appearance of sensory deficits of certain dermatomes, spine-MRI may lead to put the diagnose early in ED.en_US
dc.identifier.citationSAĞLIK, A., Şencan, F., Giray, T. A., & Tarık, O. C. A. K. Non-traumatic Spontaneous Spinal Subdural Hematoma in a Patient with Acute Paraplegia. Journal of Emergency Medicine Case Reports, 13(3), 95-97.en_US
dc.identifier.doi10.33706/jemcr.1080366en_US
dc.identifier.endpage84en_US
dc.identifier.issue3en_US
dc.identifier.startpage82en_US
dc.identifier.urihttps://doi.org/10.33706/jemcr.1080366
dc.identifier.urihttps://hdl.handle.net/20.500.12713/3329
dc.identifier.volume13en_US
dc.identifier.wosWOS:000864524200005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.institutionauthorSağlık, Ali
dc.institutionauthorŞencan, Fahir
dc.institutionauthorGiray, Tufan Akın
dc.institutionauthorOcak, Tarık
dc.language.isoenen_US
dc.publisherEMERGENCY MEDICINE PHYSICIANS ASSOC TURKEYen_US
dc.relation.ispartofJOURNAL OF EMERGENCY MEDICINE CASE REPORTSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectNon-traumaticen_US
dc.subjectSpinal Subdural Hematomaen_US
dc.subjectSpontaneous Paraplegiaen_US
dc.titleNon-traumatic Spontaneous Spinal Subdural Hematoma in a Patient with Acute Paraplegiaen_US
dc.typeArticleen_US

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