SPINAL SUBDURAL HAEMATOMA WITH PARAPLEGIA MIMICKING DORSOLUMBAR PROLAPSED DISC- A RARE CASE REPORT

نویسندگان

  • Sajad Hussain Arif Department of Neurosurgery, Sher E Kashmir Institute of Medical Sciences Srinagar, Jammu and Kashmir, India
  • VISHAL SINGH Department of Neurosurgery, Sher E Kashmir Institute of Medical Sciences Srinagar, Jammu and Kashmir, India
چکیده مقاله:

Background- Spinal subdural haematoma (SSH) is a rare condition with unknown incidence in the general population. Iatrogenic spinal subdural haematoma radiologically mimicking a prolapsed dorso-lumbar disc has not been published in the literature. Case presentation- A 65-yr-old female presented with altered sensorium and generalized weakness for 3 days was evaluated by Neurologist and diagnosed as metabolic encephalopathy with SIADH with severe anemia and hypothyroidism. She underwent a diagnostic lumbar puncture and following which, within 24 hours, she developed weakness of both the lower limbs. MRI of dorsolumbar spine was done which revealed D12-L1 extruded disc causing severe compression to the conus medullaris with D12 L2 subarachnoid lesion and cord oedema. On opening the dura, large organized hematoma on anterior aspect of conus was seen and evacuated. Conclusion- Spinal subdural haematoma presents with a spectrum of signs and symptoms. Although MRI is the investigation of choice but SSH presenting like a prolapsed intervertebral disc on MRI is one of its kinds and should be kept in mind since it carries a grave prognosis if not treated early with emergency decompression.

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عنوان ژورنال

دوره 7  شماره None

صفحات  10- 11

تاریخ انتشار 2021-04

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