Rapid spontaneous remission of a spontaneous spinal chronic subdural hematoma in a child - Case report

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

A 13-year-old boy presented with a rare spontaneous spinal chronic subdural hematoma (SCSDH) with no associated trauma or medical problems manifesting as back and bilateral lower extremity pain persisting for 10 days. Neurological examination revealed mild weakness and paresthesia in both lower extremities. Magnetic resonance (MR) imaging performed 1 week after the appearance of symptoms revealed a chronic subdural hematoma at the thoracolumbosacral region. Follow-up MR imaging performed 1 week later showed significant resolution of the hematoma without the need for surgery. The patient was discharged with only conservative management. This case of spontaneous SCSDH with rapid spontaneous remission in a child not associated with coagulopathy indicates that aggressive surgical treatment should be delayed as long as possible in pediatric patients because the spinal structure is still developing.

Original languageEnglish
Pages (from-to)231-234
Number of pages4
JournalNeurologia Medico-Chirurgica
Volume48
Issue number5
DOIs
Publication statusPublished - 2008 Jun 2

Fingerprint

Spinal Subdural Hematoma
Hematoma, Subdural, Chronic
Spontaneous Remission
Lower Extremity
Magnetic Resonance Imaging
Paresthesia
Neurologic Examination
Hematoma
Pediatrics
Pain
Wounds and Injuries
Therapeutics

Keywords

  • Child
  • Chronic subdural hematoma
  • Spinal subdural hematoma
  • Spontaneous remission

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

@article{c8f758a1420e4bfd92ecb599539c6e61,
title = "Rapid spontaneous remission of a spontaneous spinal chronic subdural hematoma in a child - Case report",
abstract = "A 13-year-old boy presented with a rare spontaneous spinal chronic subdural hematoma (SCSDH) with no associated trauma or medical problems manifesting as back and bilateral lower extremity pain persisting for 10 days. Neurological examination revealed mild weakness and paresthesia in both lower extremities. Magnetic resonance (MR) imaging performed 1 week after the appearance of symptoms revealed a chronic subdural hematoma at the thoracolumbosacral region. Follow-up MR imaging performed 1 week later showed significant resolution of the hematoma without the need for surgery. The patient was discharged with only conservative management. This case of spontaneous SCSDH with rapid spontaneous remission in a child not associated with coagulopathy indicates that aggressive surgical treatment should be delayed as long as possible in pediatric patients because the spinal structure is still developing.",
keywords = "Child, Chronic subdural hematoma, Spinal subdural hematoma, Spontaneous remission",
author = "Dong-Hyuk Park and Cho, {Tai Hyoung} and Lee, {Jang Bo} and Park, {Jung Yul} and Youn-Kwan Park and Chung, {Yong Gu} and Suh, {Jung Keun}",
year = "2008",
month = "6",
day = "2",
doi = "10.2176/nmc.48.231",
language = "English",
volume = "48",
pages = "231--234",
journal = "Neurologia Medico-Chirurgica",
issn = "0387-2572",
publisher = "Japan Neurosurgical Society",
number = "5",

}

TY - JOUR

T1 - Rapid spontaneous remission of a spontaneous spinal chronic subdural hematoma in a child - Case report

AU - Park, Dong-Hyuk

AU - Cho, Tai Hyoung

AU - Lee, Jang Bo

AU - Park, Jung Yul

AU - Park, Youn-Kwan

AU - Chung, Yong Gu

AU - Suh, Jung Keun

PY - 2008/6/2

Y1 - 2008/6/2

N2 - A 13-year-old boy presented with a rare spontaneous spinal chronic subdural hematoma (SCSDH) with no associated trauma or medical problems manifesting as back and bilateral lower extremity pain persisting for 10 days. Neurological examination revealed mild weakness and paresthesia in both lower extremities. Magnetic resonance (MR) imaging performed 1 week after the appearance of symptoms revealed a chronic subdural hematoma at the thoracolumbosacral region. Follow-up MR imaging performed 1 week later showed significant resolution of the hematoma without the need for surgery. The patient was discharged with only conservative management. This case of spontaneous SCSDH with rapid spontaneous remission in a child not associated with coagulopathy indicates that aggressive surgical treatment should be delayed as long as possible in pediatric patients because the spinal structure is still developing.

AB - A 13-year-old boy presented with a rare spontaneous spinal chronic subdural hematoma (SCSDH) with no associated trauma or medical problems manifesting as back and bilateral lower extremity pain persisting for 10 days. Neurological examination revealed mild weakness and paresthesia in both lower extremities. Magnetic resonance (MR) imaging performed 1 week after the appearance of symptoms revealed a chronic subdural hematoma at the thoracolumbosacral region. Follow-up MR imaging performed 1 week later showed significant resolution of the hematoma without the need for surgery. The patient was discharged with only conservative management. This case of spontaneous SCSDH with rapid spontaneous remission in a child not associated with coagulopathy indicates that aggressive surgical treatment should be delayed as long as possible in pediatric patients because the spinal structure is still developing.

KW - Child

KW - Chronic subdural hematoma

KW - Spinal subdural hematoma

KW - Spontaneous remission

UR - http://www.scopus.com/inward/record.url?scp=44349150499&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=44349150499&partnerID=8YFLogxK

U2 - 10.2176/nmc.48.231

DO - 10.2176/nmc.48.231

M3 - Article

C2 - 18497499

AN - SCOPUS:44349150499

VL - 48

SP - 231

EP - 234

JO - Neurologia Medico-Chirurgica

JF - Neurologia Medico-Chirurgica

SN - 0387-2572

IS - 5

ER -