Lumbosacral Subdural Hematoma : Case Report
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概要
- 論文の詳細を見る
An 18-year-old man presented with a rare spinal subdural hematoma (SSH) manifesting as headache, which developed following diving into the sea the day before. Computed tomography of the head revealed no abnormality. His headache persisted followed by neck stiffness and mild lumbago. He came to see us 6 days after the first visit. He underwent lumbar puncture to eliminate the possibility of meningitis. The cerebrospinal fluid showed xanthochromia. Cerebral angiography showed no abnormality. Magnetic resonance imaging of the spine revealed lumbosacral subdural hematoma. The hematoma and his symptoms regressed spontaneously during several weeks of conservative treatment. A sharp increase in intraabdominal and/or intrathoracic pressures following diving may have caused the bleeding. Headache may be an initial symptom associated with subarachnoid hemorrhage concomitant with SSH. Delayed progression of lumbosacral SSH must be considered if the patient complains of lumbago following minor trauma.
- 日本脳神経外科学会の論文
- 2006-05-15
著者
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Matsumura A
茨城県立中央病院 総合診療科
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Noguchi Shozo
Department Of Neurosurgery Kitaibaraki Municipal General Hospital
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Noguchi Shozo
Department Of Neurosurgery Ibaraki Prefectural Central Hospital
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Matsumura Akira
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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Mashiko Ryota
Department Of Neurosurgery Kitaibaraki Municipal General Hospital
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Mashiko Ryota
Department Of Neurosurgery Institute Of Clinical Medicine
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Uemura Kazuya
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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TAKADA Tomoya
Department of Neurosurgery, Kitaibaraki Municipal General Hospital
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Takada Tomoya
Department Of Neurosurgery Kitaibaraki Municipal General Hospital
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Matsumura Akira
Department Of Gastroenterology Dokkyo Medical University
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MATSUMURA Akira
Department of Electronic Science and Engineering, Faculty of Engineering, Kyoto University
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Takada Tomoya
Department of Material Chemistry, Asahikawa National College of Technology, Asahikawa, Hokkaido 071-8241, Japan
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