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Information Journal Paper

Title

Spinal Subdural Hematoma With Paraplegia Mimicking Dorsolumbar Prolapsed Disc: A Case Report

Pages

  113-118

Abstract

 Background and Importance: Spinal Subdural hematoma (SSH) is a rare condition with an unknown incidence in the general population. Iatrogenic spinal Subdural hematoma radiologically mimicking a prolapsed dorsolumbar disc has not been published in the literature. Case Presentation: A 65-year-old female presented with altered sensorium and generalized weakness for 3 days evaluated by a neurologist who diagnosed it as a metabolic encephalopathy with Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH) with severe anemia and hypothyroidism. She underwent a diagnostic Lumbar puncture and following which, within 24 hours, she developed weakness of both the lower limbs. MRI of dorsolumbar spine was done which revealed D12-L1 extruded disc causing severe compression to the Conus medullaris with D12-L2 subarachnoid lesion and cord edema. On opening the dura, a large organized hematoma on the anterior aspect of the conus was seen and evacuated. Conclusion: Spinal Subdural hematoma presents with a spectrum of signs and symptoms. Although MRI is the investigation of choice but SSH presenting like a prolapsed intervertebral disc on MRI is one of its kinds and should be kept in mind since it carries a grave prognosis if not treated early with emergency decompression.

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    APA: Copy

    Singh, Vishal, & Arif, Sajad Hussain. (2021). Spinal Subdural Hematoma With Paraplegia Mimicking Dorsolumbar Prolapsed Disc: A Case Report. IRANIAN JOURNAL OF NEUROSURGERY, 7(2 (25)), 113-118. SID. https://sid.ir/paper/701061/en

    Vancouver: Copy

    Singh Vishal, Arif Sajad Hussain. Spinal Subdural Hematoma With Paraplegia Mimicking Dorsolumbar Prolapsed Disc: A Case Report. IRANIAN JOURNAL OF NEUROSURGERY[Internet]. 2021;7(2 (25)):113-118. Available from: https://sid.ir/paper/701061/en

    IEEE: Copy

    Vishal Singh, and Sajad Hussain Arif, “Spinal Subdural Hematoma With Paraplegia Mimicking Dorsolumbar Prolapsed Disc: A Case Report,” IRANIAN JOURNAL OF NEUROSURGERY, vol. 7, no. 2 (25), pp. 113–118, 2021, [Online]. Available: https://sid.ir/paper/701061/en

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