Author/Authors :
Farzan, A Department of Neurosurgery - Mofid Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Pourbakhtyaran, Elham Mofid Children Hospital - Shahid Beheshti University of Medical Sciences, Tehran , Moosavian, Toktam Department of Paediatric Neurology - Faculty of Medicine - Child Growth and Development Research Center - Isfahan University of Medical Sciences, Isfahan , Moosavian, Hamidreza Department of Clinical Pathology - Faculty of Veterinary Medicine - University of Tehran, Tehran
Abstract :
Acute Spinal Subdural Hematoma (ASSH) is a rarely recognized
condition that may result in severe irreversible neurologic
complication. A 7-yr old girl presented to Neurology Department,
Mofid Hospital, ShahidBeheshti University of Medical Sciences,
Tehran, Iran with limping and pain in lower extremities and acute
paraplegia without history of direct trauma. The patient had muscle
weakness in lower limbs and was unable to bear weight. Deep
Tendon Reflexes (DTR) in lower extremities had increased. Her
MRI showed spinal subdural hematoma we reextended from T2 to
T6. We performed laminectomy from T2 to T5 and about 70 cc of
subdural hematoma was evacuated. One month after the surgery,
the patient’s neurological deficit resolved completely. The results
showed the pivotal role of attention to clinical manifestation in acute
spinal subdural hematoma and early diagnosis to prevent irreversible
neurologic complication.
