Recovery after Delayed Surgery in a Case of Spinal Subdural Hematoma
Spinal chronic subdural hematoma (SCSH) is a rare pathology usually associated with trauma or hematological alterations or is due to iatrogenic causes; rarely SCSH can be spontaneous. We report a case of a 79-year-old female who underwent a surgical evacuation of a spontaneous SCSH one year after di...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/310854 |
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| author | Pier Paolo Panciani Claudio Cornali Alessandro Agnoletti Giacomo Esposito Gabriele Ronchetti Marco Fontanella |
| author_facet | Pier Paolo Panciani Claudio Cornali Alessandro Agnoletti Giacomo Esposito Gabriele Ronchetti Marco Fontanella |
| author_sort | Pier Paolo Panciani |
| collection | DOAJ |
| description | Spinal chronic subdural hematoma (SCSH) is a rare pathology usually associated with trauma or hematological alterations or is due to iatrogenic causes; rarely SCSH can be spontaneous. We report a case of a 79-year-old female who underwent a surgical evacuation of a spontaneous SCSH one year after diagnosis. She presented with a severe paraparesis and showed a considerable improvement in sensory-motor performances after surgery. The treatment of spontaneous SCSH is not well defined and universally accepted. Early surgery is mandatory in cases presenting with severe deficits. To the best of our knowledge, this is the first case showing a good outcome in a case of SCSH following a delayed surgery. In our opinion, an aggressive approach should be considered as a viable option in cases of spontaneous SCSH even after a lasting spinal cord compression. |
| format | Article |
| id | doaj-art-6464666ccbff4340a6bad6c7dd1aba8a |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-6464666ccbff4340a6bad6c7dd1aba8a2025-02-03T05:43:51ZengWileyCase Reports in Neurological Medicine2090-66682090-66762013-01-01201310.1155/2013/310854310854Recovery after Delayed Surgery in a Case of Spinal Subdural HematomaPier Paolo Panciani0Claudio Cornali1Alessandro Agnoletti2Giacomo Esposito3Gabriele Ronchetti4Marco Fontanella5Department of Neuroscience, Division of Neurosurgery, University of Brescia, Piazza Spedali Civili, 25123 Brescia, ItalyDepartment of Neuroscience, Division of Neurosurgery, University of Brescia, Piazza Spedali Civili, 25123 Brescia, ItalyDepartment of Neuroscience, Division of Neurosurgery, University of Torino, 10126 Torino, ItalyDepartment of Neuroscience, Division of Neurosurgery, University of Brescia, Piazza Spedali Civili, 25123 Brescia, ItalyDepartment of Neuroscience, Division of Neurosurgery, University of Brescia, Piazza Spedali Civili, 25123 Brescia, ItalyDepartment of Neuroscience, Division of Neurosurgery, University of Brescia, Piazza Spedali Civili, 25123 Brescia, ItalySpinal chronic subdural hematoma (SCSH) is a rare pathology usually associated with trauma or hematological alterations or is due to iatrogenic causes; rarely SCSH can be spontaneous. We report a case of a 79-year-old female who underwent a surgical evacuation of a spontaneous SCSH one year after diagnosis. She presented with a severe paraparesis and showed a considerable improvement in sensory-motor performances after surgery. The treatment of spontaneous SCSH is not well defined and universally accepted. Early surgery is mandatory in cases presenting with severe deficits. To the best of our knowledge, this is the first case showing a good outcome in a case of SCSH following a delayed surgery. In our opinion, an aggressive approach should be considered as a viable option in cases of spontaneous SCSH even after a lasting spinal cord compression.http://dx.doi.org/10.1155/2013/310854 |
| spellingShingle | Pier Paolo Panciani Claudio Cornali Alessandro Agnoletti Giacomo Esposito Gabriele Ronchetti Marco Fontanella Recovery after Delayed Surgery in a Case of Spinal Subdural Hematoma Case Reports in Neurological Medicine |
| title | Recovery after Delayed Surgery in a Case of Spinal Subdural Hematoma |
| title_full | Recovery after Delayed Surgery in a Case of Spinal Subdural Hematoma |
| title_fullStr | Recovery after Delayed Surgery in a Case of Spinal Subdural Hematoma |
| title_full_unstemmed | Recovery after Delayed Surgery in a Case of Spinal Subdural Hematoma |
| title_short | Recovery after Delayed Surgery in a Case of Spinal Subdural Hematoma |
| title_sort | recovery after delayed surgery in a case of spinal subdural hematoma |
| url | http://dx.doi.org/10.1155/2013/310854 |
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