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Most cases of spinal subdural hematoma are very rare and result from iatrogenic causes, such as coagulopathy or a spinal puncture. Cases of non-traumatic spinal subdural hematoma accompanied by intracranial hemorrhage are even more rare. There are a few reports of spontaneous spinal subdural hematoma with concomitant intracranial subdural or subarachnoid hemorrhage, but not with intracerebral hemorrhage. Especially in our case, the evaluation and diagnosis were delayed because the spontaneous intracerebral hemorrhage accompanying the unilateral spinal subdural and subarachnoid hemorrhages caused hemiplegia. We report a case of spinal subdural and subarachnoid hemorrhage with concomitant intracerebral hemorrhage, for the first time, with a relevant literature review.
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http://dx.doi.org/10.13004/kjnt.2019.15.e7 | DOI Listing |
Cureus
September 2025
Neurosurgery, Queen Elizabeth University Hospital, Glasgow, GBR.
Background Emergency neurosurgical referrals are a leading driver of on-call workload and unplanned admissions. Tracking their volume and case-mix supports safe staffing, imaging capacity, and bed planning across regional networks. The study included all emergency referrals made to the department between 2020 and 2022.
View Article and Find Full Text PDFCureus
July 2025
Neuroradiology, Indo American Brain and Spine Center, Vaikom, IND.
Superficial siderosis (SS) is a rare neurodegenerative condition caused by chronic or recurrent bleeding into the subarachnoid space, leading to the deposition of hemosiderin in the subpial layers of the brain, brainstem, spinal cord, or cranial nerves. SS is categorized into two main forms based on its anatomical distribution: cortical superficial siderosis (cSS) and infratentorial superficial siderosis (iSS). Among these, iSS is further subdivided into Type 1 (classical iSS) and Type 2 (secondary iSS).
View Article and Find Full Text PDFZ Geburtshilfe Neonatol
September 2025
University Department of Obstetrics and Gynecology, Merkur University Hospital, Zagreb, Croatia.
We report a rare case of peripartum pontine stroke in a 34-year-old primipara initially attributed to an episode of severe transient hypotension caused by the subdural spread of local anesthetic during epidural analgesia for delivery. The rapid intrapartum intervention by the obstetric team because of spinal shock clinical pictures and fetal bradycardia using high vacuum extraction prevented the risk of fetal ischemic-hypoxic damage. A healthy child was born with an Apgar score of 8/10, 3790 grams /53 cm, with a normal neonatal course.
View Article and Find Full Text PDFActa Neurol Belg
August 2025
Department of Neurosurgery, Carol Davila University of Medicine and Pharmacy, Bucharest, 020021, Romania.
BMJ Case Rep
August 2025
Department of Anaesthesiology, Our Lady of Lourdes Hospital, Drogheda, County Louth, Ireland.
A parturient reported a headache 20 hours following unintentional dural puncture during epidural placement for labour analgesia. It was positional, mild to moderate in severity with no focal neurological signs. Six days later, the headache became more severe.
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