Spontaneous Concomitant Intracranial and Spinal Subdural Hematomas in Association with Anticoagulation Therapy

Abstract

Simultaneous intracranial and spinal subdural hematomas are extremely rare. In most cases, they are attributed to major or minor trauma and iatrogenic causes, such as those resulting from spinal puncture. To the best of the authors' knowledge, there has been only two reports of spontaneous concomitant intracranial and spinal subdural hematomas in a patient receiving anticoagulant therapy who had an absence of evident trauma history. We report on a case of spontaneous concomitant intracranial and spinal subdural hematomas that occurred in association with anticoagulant therapy and present a review of the relevant literature.

A Rare Etiology of Severe Acute Heart Failure: Subacute Spinal Subdural Hematoma in a Young Woman

“…The potential reason of mild neurological B A symptoms might be caused by the repeated but very small amount of bleeding in epidural cavity; therefore the adaptation to the intracavity pressure of spinal cord became possible [3]. The previous reported cases of cardiac diseases and SSDH were mainly in those with anticoagulant in atrial fibrillation and iatrogenic hematoma thereafter [9]. The contrary example of SSDH first and then cardiac dysfunction, to our knowledge, is very rare.…”

Disseminated intravascular coagulation and subdural haemorrhage: complications from conservative management of placenta increta

“…Concomitant cranial and spinal subdural haematomas are extremely rare, especially in the absence of trauma. Predisposing factors include intracranial or iatrogenic causes as well as prior anticoagulation [7]. This case highlights that secondary coagulopathy may also be a risk factor for the development of concomitant haematomas.…”

“…Predisposing factors include intracranial or iatrogenic causes as well as prior anticoagulation [7]. Predisposing factors include intracranial or iatrogenic causes as well as prior anticoagulation [7].…”

Spontaneous Spinal Subdural Hematoma with Simultaneous Cranial Subarachnoid Hemorrhage

“…Raised intracranial pressure might displace the hematoma directly into the skull base and spinal canal through a subdural space 11 28) . The anatomic continuity between the intracranial and spinal subdural spaces can be observed, and a simultaneous cranial SAH and spinal SDH could explain this phenomenon 19 27) . However, when we applied the above mechanism to our patient to explain the simultaneous intracranial and spinal hemorrhage, it was found to be insufficient.…”