Abstract

CASALLO-QUILIANO, Carlos; DAVILA-GARCIA, Dennis; RUIZ-PEREA, Catherine  and  PINEDA-GARCIA, Ronald. Nontraumatic spinal subdural hematoma. Acta méd. peruana [online]. 2014, vol.31, n.4, pp.240-244. ISSN 1728-5917.

A 88yearold male receiving hemodialysis for chronic renal insufficiency, developed cervical pain and progressively motor/sensitive deficit with mechanic ventilation support. Computed tomography and Magnetic resonance imaging (MRI) admission showed a variety of diagnostics, inclunding spinal subdural hematoma. Prothrombin time and international normalized ratio (INR) were slightly out of range, with normal platelets amount. MRI after four days found a spinal subdural hematoma, confirmed with lumbar puncture. Sixty cc was evacuated without neurologic amelioration. A new MRI was impossible to perform. He died due a respiratory sepsis.

Keywords : spinal subdural hematoma; coagulopathy; lumbar punction.

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