Academic Journals Database
Disseminating quality controlled scientific knowledge

Spontaneous subdural hematoma of the thoracolumbar region with massive recurrent bleed

Author(s): Cincu Rafael | Lorente Francisco de Asis | Rivero David | Eiras Jose | Ara Jose

Journal: Indian Journal of Orthopaedics
ISSN 0019-5413

Volume: 43;
Issue: 4;
Start page: 412;
Date: 2009;
Original page

Keywords: Polycythemia | spine | subdural hematoma

Spinal subdural hematoma is a rare disorder and can be caused by abnormalities of coagulation, blood dyscrasias, lumbar puncture, trauma, underlying neoplasm, and arteriovenous malformation. We discuss an unusual case of an elderly woman who presented with spontaneous spinal subdural hematoma and developed massive rebleeding on the third day following initial evacuation of hematoma. This case illustrates that a patient with routine normal coagulation profile and adequate hemostasis can still harbor platelet dysfunction (in present case due to polycythemia) and later on can manifest as rebleeding and neurological deterioration.
Affiliate Program      Why do you need a reservation system?