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Subdural Hematoma
Kevin R. Moore, MD; Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Spinal subdural hematoma (SSDH)
              • Definitions

                • Accumulation of blood between dura, arachnoid

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Nonvascular Interventions

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Benyaich Z et al: Acute lumbar spinal subdural hematoma inducing paraplegia after lumbar spinal manipulation: case report and literature review. World Neurosurg. 128:182-5, 2019
                                              2. Gan CW et al: Spontaneous spinal subdural hematoma: case report of 2 years' clinical and radiologic findings. World Neurosurg. 127:275-8, 2019
                                              3. Rothrock RJ et al: Aneurysmal subarachnoid hemorrhage with spinal subdural hematoma: a case report and systematic review of the literature. World Neurosurg. 128:240-7, 2019
                                              4. Maddali P et al: Subdural thoracolumbar spine hematoma after spinal anesthesia: a rare occurrence and literature review of spinal hematomas after spinal anesthesia. Cureus. 9(2):e1032, 2017
                                              5. Kokubo R et al: Prospective assessment of concomitant lumbar and chronic subdural hematoma: is migration from the intracranial space involved in their manifestation? J Neurosurg Spine. 20(2):157-63, 2014
                                              6. Sandler AL et al: Infections of the spinal subdural space in children: a series of 11 contemporary cases and review of all published reports. A multinational collaborative effort. Childs Nerv Syst. 29(1):105-17, 2013
                                              7. Cho DC et al: Traumatic subacute spinal subdural hematoma successfully treated with lumbar drainage: case report. J Spinal Disord Tech. 22(1):73-6, 2009
                                              8. Hamaguchi H et al: Idiopathic lumbar spinal subdural hematoma. Orthopedics. 31(7):715, 2008
                                              9. Braun P et al: MRI findings in spinal subdural and epidural hematomas. Eur J Radiol. 64(1):119-25, 2007
                                              10. Layton KF et al: Recommendations for anticoagulated patients undergoing image-guided spinal procedures. AJNR Am J Neuroradiol. 27(3):468-70, 2006
                                              11. Hung KS et al: Traumatic spinal subdural hematoma with spontaneous resolution. Spine. 27(24):E534-8, 2002
                                              12. Adler MD et al: Acute hemorrhagic complication of diagnostic lumbar puncture. Pediatr Emerg Care. 17(3):184-8, 2001
                                              13. Boukobza M et al: Spinal subdural haematoma: a study of three cases. Clin Radiol. 56(6):475-80, 2001
                                              14. Hausmann et al: Coagulopathy induced spinal intradural extramedullary haematoma: report of three cases and review of the literature. Acta Neurochir (Wien). 143(2):135-40, 2001
                                              15. Maeda M et al: Nonsurgical treatment of an upper thoracic spinal subdural hemorrhage. Spinal Cord. 39(12):657-61, 2001
                                              16. Abla AA et al: Spinal chronic subdural hematoma. Neurosurg Clin N Am. 11(3):465-71, 2000
                                              17. Domenicucci M et al: Nontraumatic acute spinal subdural hematoma: report of five cases and review of the literature. J Neurosurg. 91(1 Suppl):65-73, 1999
                                              18. Egede LE et al: Spinal subdural hematoma: a rare complication of lumbar puncture. Case report and review of the literature. Md Med J. 48(1):15-7, 1999
                                              19. Longatti PL et al: Spontaneous spinal subdural hematoma. J Neurosurg Sci. 38(3):197-9, 1994
                                              20. Post MJ et al: Acute spinal subdural hematoma: MR and CT findings with pathologic correlates. AJNR Am J Neuroradiol. 15(10):1895-905, 1994
                                              21. Haines DE et al: The "subdural" space: a new look at an outdated concept. Neurosurgery. 32(1):111-20, 1993
                                              22. Calhoun JM et al: Spontaneous spinal subdural hematoma: case report and review of the literature. Neurosurgery. 29(1):133-4, 1991
                                              23. Spanu G et al: Spinal subdural haematoma: a rare complication of lumbar puncture. Case report and review of the literature. Neurochirurgia (Stuttg). 31(5):157-9, 1988
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Abbreviations

                                                            • Spinal subdural hematoma (SSDH)
                                                          • Definitions

                                                            • Accumulation of blood between dura, arachnoid

                                                          IMAGING

                                                          • General Features

                                                            • Radiographic Findings

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Nonvascular Interventions

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Benyaich Z et al: Acute lumbar spinal subdural hematoma inducing paraplegia after lumbar spinal manipulation: case report and literature review. World Neurosurg. 128:182-5, 2019
                                                                                          2. Gan CW et al: Spontaneous spinal subdural hematoma: case report of 2 years' clinical and radiologic findings. World Neurosurg. 127:275-8, 2019
                                                                                          3. Rothrock RJ et al: Aneurysmal subarachnoid hemorrhage with spinal subdural hematoma: a case report and systematic review of the literature. World Neurosurg. 128:240-7, 2019
                                                                                          4. Maddali P et al: Subdural thoracolumbar spine hematoma after spinal anesthesia: a rare occurrence and literature review of spinal hematomas after spinal anesthesia. Cureus. 9(2):e1032, 2017
                                                                                          5. Kokubo R et al: Prospective assessment of concomitant lumbar and chronic subdural hematoma: is migration from the intracranial space involved in their manifestation? J Neurosurg Spine. 20(2):157-63, 2014
                                                                                          6. Sandler AL et al: Infections of the spinal subdural space in children: a series of 11 contemporary cases and review of all published reports. A multinational collaborative effort. Childs Nerv Syst. 29(1):105-17, 2013
                                                                                          7. Cho DC et al: Traumatic subacute spinal subdural hematoma successfully treated with lumbar drainage: case report. J Spinal Disord Tech. 22(1):73-6, 2009
                                                                                          8. Hamaguchi H et al: Idiopathic lumbar spinal subdural hematoma. Orthopedics. 31(7):715, 2008
                                                                                          9. Braun P et al: MRI findings in spinal subdural and epidural hematomas. Eur J Radiol. 64(1):119-25, 2007
                                                                                          10. Layton KF et al: Recommendations for anticoagulated patients undergoing image-guided spinal procedures. AJNR Am J Neuroradiol. 27(3):468-70, 2006
                                                                                          11. Hung KS et al: Traumatic spinal subdural hematoma with spontaneous resolution. Spine. 27(24):E534-8, 2002
                                                                                          12. Adler MD et al: Acute hemorrhagic complication of diagnostic lumbar puncture. Pediatr Emerg Care. 17(3):184-8, 2001
                                                                                          13. Boukobza M et al: Spinal subdural haematoma: a study of three cases. Clin Radiol. 56(6):475-80, 2001
                                                                                          14. Hausmann et al: Coagulopathy induced spinal intradural extramedullary haematoma: report of three cases and review of the literature. Acta Neurochir (Wien). 143(2):135-40, 2001
                                                                                          15. Maeda M et al: Nonsurgical treatment of an upper thoracic spinal subdural hemorrhage. Spinal Cord. 39(12):657-61, 2001
                                                                                          16. Abla AA et al: Spinal chronic subdural hematoma. Neurosurg Clin N Am. 11(3):465-71, 2000
                                                                                          17. Domenicucci M et al: Nontraumatic acute spinal subdural hematoma: report of five cases and review of the literature. J Neurosurg. 91(1 Suppl):65-73, 1999
                                                                                          18. Egede LE et al: Spinal subdural hematoma: a rare complication of lumbar puncture. Case report and review of the literature. Md Med J. 48(1):15-7, 1999
                                                                                          19. Longatti PL et al: Spontaneous spinal subdural hematoma. J Neurosurg Sci. 38(3):197-9, 1994
                                                                                          20. Post MJ et al: Acute spinal subdural hematoma: MR and CT findings with pathologic correlates. AJNR Am J Neuroradiol. 15(10):1895-905, 1994
                                                                                          21. Haines DE et al: The "subdural" space: a new look at an outdated concept. Neurosurgery. 32(1):111-20, 1993
                                                                                          22. Calhoun JM et al: Spontaneous spinal subdural hematoma: case report and review of the literature. Neurosurgery. 29(1):133-4, 1991
                                                                                          23. Spanu G et al: Spinal subdural haematoma: a rare complication of lumbar puncture. Case report and review of the literature. Neurochirurgia (Stuttg). 31(5):157-9, 1988