Clival Subdural Hematoma after Drainage of Concomitant Intracranial and Spinal Cord Subdural Hematomas – Rare Case Report

Abstract

Concomitant traumatic spinal cord and intracranial subdural hematomas associated with a retroclival hematoma are very uncommon. Their pathophysiology is not totally elucidated, but one hypothesis is the migration of the hematoma from the head to the spine. In the present case report, the authors describe the case of a 51-year-old man presenting with headache, nauseas and back pain after a head trauma who presented with intracranial and spinal cord subdural hematomas. Drainage was performed but, 1 week later, a retroclival subdural hematoma was diagnosed. The present paper discusses the pathophysiology, the clinical presentation, as well as the complications of concomitant traumatic spinal cord and intracranial subdural hematomas associated with a retroclival hematoma, and reviews this condition.

Resumo

Hematomas subdurais traumáticos medular e intracraniano concomitantes associados a hematomas retroclivais são condições incomuns. Sua fisiopatologia não é completamente compreendida, mas uma das hipóteses é a migração do hematoma da região encefálica para a medular. No presente relato de caso, os autores descrevem o caso de um paciente masculino, 51 anos de idade, com cefaleia, náuseas e dor lombar após sofrer traumatismo craniano. O mesmo apresentou-se com hematomas subdurais encefálico e lombar. O paciente foi submetido a drenagem e, após uma semana, retornou com um hematoma subdural retroclival. O presente artigo discute a fisiopatologia, a apresentação clínica e as complicações de hematomas subdurais traumáticos medular e intracraniano concomitantes associados a hematomas retroclivais e apresenta uma revisão do tema.

Keywords

lumbar subdural hematoma - intracranial subdural hematoma - retroclival subdural hematoma - head trauma

Palavras-Chave

hematoma subdural lombar - hematoma subdural intracraniano - hematoma subdural retroclival - traumatismo craniano

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