Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(02): 550-552
DOI: 10.4103/ajns.AJNS_228_18
Case Report

Spontaneous subdural hematoma of dorsal spine secondary to dengue fever: A rare case report with review of literature

Vikas Maheshwari
Department of Neurosurgery, AFMC, Pune, Maharashtra
,
Sanjay Kumar
Department of Neurosurgery, AFMC, Pune, Maharashtra
,
Arun Kumar
Department of Neurosurgery, AFMC, Pune, Maharashtra
,
Ashok Kumar
Department of Neurosurgery, AFMC, Pune, Maharashtra
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

A 54-year-old female patient had a sudden onset of febrile illness following which she developed low backache and sudden onset paraplegia with urinary retention. Her hemogram, biochemistry, and coagulation profile was within normal limits. Her dengue serology was positive for IgG antibodies but negative for NS1 Ag. Magnetic resonance imaging of dorsolumbar spine revealed extensive subdural bleed from D6–D12 with cord compression. She underwent emergency laminectomy D6–D12 along with complete evacuation of hematoma. There was complete recovery of sensations in the immediate postoperative period though her motor weakness showed only marginal improvement.

Key-words:

Dengue - paraplegia - spine - subdural hemorrhage

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Lee JI, Hong SC, Shin HJ, Eoh W, Byun HS, Kim JH, et al. Traumatic spinal subdural hematoma: Rapid resolution after repeated lumbar spinal puncture and drainage. J Trauma 1996;40:654-5.
  • 2 Gordon WE, Kimball BY, Arthur AS. Traumatic lumbar spinal subdural hematoma. Interdiscip Neurosurg J 2014;1:123-7.
  • 3 Cooper J, Gillick JL, LaBagnara M, Das K, Hillard VH. Traumatic lumbar subdural hematoma in the absence of intracranial disease. World Neurosurg 2016;90:706.e15-20.
  • 4 Solomon T, Dung NM, Vaughn DW, Kneen R, Thu Thao LT, Raengsakulrach B, et al. Neurological manifestions of dengue infection. Lancet 2000;355:1053-9.
  • 5 Rodenhuis-Zybert IA, Wilschut J, Smit JM. Dengue virus life cycle: Viral and host factors modulating infectivity. Cell Mol Life Sci 2010;67:2773-86.
  • 6 Halstead SB. Dengue. Lancet 2007;370:1644-52.
  • 7 Mustafa MS, Rasotgi V, Jain S, Gupta V. Discovery of fifth serotype of dengue virus (DENV-5): A new public health dilemma in dengue control. Med J Armed Forces India 2015;71:67-70.
  • 8 World Health Organization Dengue: Guidelines for Diagnosis. Treatment, Prevention and Control: New Edition. Geneva: World Health Organization; 2009.
  • 9 Aguiar M, Rocha F, Pessanha JE, Mateus L, Stollenwerk N. Corrigendum: Carnival or football, is there a real risk for acquiring dengue fever in Brazil during holidays seasons? Sci Rep 2015;5:10570.
  • 10 Gubler DJ. Dengue and dengue hemorrhagic fever. Clin Microbiol Rev 1998;11:480-96.
  • 11 George R, Lum LC. Clinical spectrum of dengue infection. In: Gubler DJ, Kuno G, editors. Dengue and Dengue Haemorrhagic Fever. Wallingford: CAB International; 1997. p. 89-13.
  • 12 Gulati S, Maheshwari A. Atypical manifestations of dengue. Trop Med Int Health 2007;12:1087-95.
  • 13 Verma SP, Himanshu D, Tripathi AK, Vaish AK, Jain N. An atypical case of dengue haemorrhagic fever presenting as quadriparesis due to compressive myelopathy. BMJ Case Rep 2011;2011. pii: bcr1020103421.
  • 14 Mohd Sharif NH, Misnan NA, Saidon N, Ooi PY, Hashim H. Spontaneous spinal subarachnoid haemorrhage: A rare complication of dengue fever. J Clin Health Sci 2017;2:54-7.