본문 바로가기
KERD
논문KCI 등재

외상성 두개내 경막하출혈과 동반된 척추 경막하출혈에서 발생한 요천추 신경근병증 1예

A Case of Lumbosacral Radiculopathies in Spinal Subdural Hematoma after Traumatic Intracranial Subdural Hemorrhage

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Spinal subdural hematoma (SDH) with intracranial subdural hemorrhage is a rare disease entity and spinal SDH may compress or irritate spinal cord, cauda eqiuna or spinal nerve roots. However, there are few literatures that had showed nerve compromise by electrodiagnostic study. In our report, thirty-two years old man who had post-traumatic intracranial SDH complained lumbar radiculopathic symptoms and signs 6 days after traffic accident, and spine magnetic resonance image (MRI) demonstrated spinal SDH extending from Ll to S1. Electromyography revealed left L5, Sl radiculopathies 4 weeks after the accident.

Abstract

Spinal subdural hematoma (SDH) with intracranial subdural hemorrhage is a rare disease entity and spinal SDH may compress or irritate spinal cord, cauda eqiuna or spinal nerve roots. However, there are few literatures that had showed nerve compromise by electrodiagnostic study. In our report, thirty-two years old man who had post-traumatic intracranial SDH complained lumbar radiculopathic symptoms and signs 6 days after traffic accident, and spine magnetic resonance image (MRI) demonstrated spinal SDH extending from Ll to S1. Electromyography revealed left L5, Sl radiculopathies 4 weeks after the accident.

참고문헌 (20)

  1. Russell NA, "Spinal subdural hematoma. A review", Surg Neurol, 20, pp.133~137 (1983)
  2. Yamaguchi S, "Simultaneous cranial and spinal subdural hematoma: case report", Neurol Med Chir (Tokyo), 45, pp.645~649 (2005)
  3. Tillich M, "Chronic spinal subdural haematoma associated with intracranial subdual haematoma: CT and MRI", Neuroradiology, 41, pp.137~139 (1999)
  4. Lee JI, "Spinal subdural haematoma as a complication of cranial surgery", Acta Neurochir, 145, pp.411~415 (2003)
  5. Jimbo H, "Spinal chronic subdural hematoma in association with anticoagulant therapy", Spine, 31, pp.184~187 (2006)
  6. Sari A, "Subacute spinal subdural hematoma associated with intracranial subdural hematoma", J Neuroradiol, 33, pp.67~69 (2006)
  7. Hung KS, "Traumatic subdural hematoma with spontaneous resolution", Spine, 27, pp.534~538 (2002)
  8. Kirsch EC, "Acute spontaneous spinal subdural haematoma: MRI features", Neuroradiology, 42, pp.586~590 (2000)
  9. Reina MA, "The origin of the spinal subdural space: ultrastructure findings", Anesth Analg, 94, pp.991~995 (2002)
  10. Mashiko R, "Lumbosacral subdural hematoma. Case report", Neurol Med Chir (Tokyo), 46, pp.258~261 (2006)
  11. Kim MS, "Spinal subdural hematoma following intracranial aneurysm surgery: four case reports", Neurol Med Chir (Tokyo), 47, pp.22~25 (2007)
  12. Masdeu JC, "Spinal subarachnoid hematomas: clue to a source of bleeding in traumatic lumbar puncture", Neurology, 29, pp.872~876 (1979)
  13. Jensen MC, "Magnetic resonance imaging of the lumbar spine in people without back pain", N Engl J Med, 331, pp.69~73 (1994)
  14. Nardin RA, "Electromyography and magnetic resonance imaging in the evaluation of radiculopathy", Muscle Nerve, 22, pp.151~155 (1999)
  15. Jackson RP, "The neuroradiographic diagnosis of lumbar herniated nucleus pulposus: II. A comparison of computed tomography (CT), myelography, CT-myelography, and magnetic resonance imaging", Spine, 14, pp.1362~1367 (1989)
  16. Modic MT, "Lumbar herniated disk disease and canal stenosis: prospective evaluation by surface coil MR", CT and myelography, 147, pp.757~765 (1986)
  17. Haldeman S, "Computed tomography, electrodiagnostic and clinical findings in chronic workers’ compensation patients with back and leg pain", Spine, 13, pp.345~350 (1988)
  18. Khatri BO, "Correlation of electromyography with computed tomography in evaluation of lower back pain", Arch Neurol, 41, pp.594~597 (1984)
  19. Kobayashi S, "Pathology of lumbar nerve root compression Part 1. Intraradicular inflammatory changes induced by mechanical compression", J Orthop Res, 22, pp.170~179 (2004)
  20. Kobayashi S, "Pathology of lumbar nerve root compression Part 2. Morphological and immunohistochemical changes of dorsal root ganglion", J Orthop Res, 22, pp.180~188 (2004)

관련 논문AI추천

이 간행물의 다른 논문 (18건)