World neurosurgery · 2016
Lumbosacral Subdural Hematoma and Concomitant Acute Lower Extremity Monoparesis After Intracranial Aneurysmal Subarachnoid Hemorrhage.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Choi Dae Han, Kim Myeong Jin, Yoo Chan Jong, Park Cheol Wan
Аннотация
BACKGROUND: Spinal subdural hematoma (SDH) secondary to intracranial aneurysmal subarachnoid hemorrhage (SAH) occurs rarely and can cause neurologic deficits.
CASE DESCRIPTION: A 52-year-old man was diagnosed with SAH caused by rupture of an anterior communicating artery aneurysm. The aneurysm was treated by coil embolization on the day of admission. After embolization, the patient's left lower extremity strength had decreased and a spinal magnetic resonance imaging showed subarachnoid hematoma and SDH with severe thecal sac compression at L4-S2. On postbleed day 6, L4-S1 laminectomy was performed, and the strength in all muscle of the left leg improved.
CONCLUSIONS: Rupture of an intracranial aneurysm may cause symptomatic SDH in the lumbosacral spine as well as subarachnoid hematoma.
CASE DESCRIPTION: A 52-year-old man was diagnosed with SAH caused by rupture of an anterior communicating artery aneurysm. The aneurysm was treated by coil embolization on the day of admission. After embolization, the patient's left lower extremity strength had decreased and a spinal magnetic resonance imaging showed subarachnoid hematoma and SDH with severe thecal sac compression at L4-S2. On postbleed day 6, L4-S1 laminectomy was performed, and the strength in all muscle of the left leg improved.
CONCLUSIONS: Rupture of an intracranial aneurysm may cause symptomatic SDH in the lumbosacral spine as well as subarachnoid hematoma.
Предметные рубрики MeSH
Aneurysm, RupturedCerebral AngiographyComputed Tomography AngiographyDecompression, SurgicalDiffusion Magnetic Resonance ImagingHematoma, Subdural, SpinalHumansImaging, Three-DimensionalIntracranial AneurysmLaminectomyLower ExtremityLumbar VertebraeMaleMiddle AgedParesisSacrumSubarachnoid HemorrhageTomography, X-Ray Computed