A case report of spontaneous spinal subarachnoid and epidural hematoma.

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A rare case of spontaneous spinal subarachnoid and epidural hematoma who had surgical treatment and fair recovery was reported. A 48-year-old male complained of sudden and severe upper back pain at the onset, and developed paraplegia. A lumbar puncture revealed bloody cerebrospinal fluid, and myelography showed complete block at the level of L1. A cisternal puncture failed but peridrography was obtained. It showed blockage at the level of C4. CT scan showed high density area at the ventral side of the upper thoracic spinal canal. Operation was performed 15 hours after paraplegia. Laminectomy from C7 to L1 showed normal looking but nonpulsatile dural tube. On opening the dura and arachnoid membrane, clots were found on the ventral side extending from C7 to T11. No specific bleeding point was identified.At present, five months after surgery, he can walk with two crutches, but muscle weakness and sensory disturbance remain.
西日本整形・災害外科学会の論文