Spontaneous Spinal Subdural Hematoma Developed After Weightlifting: A case Report and Review of Literature

Abstract

Spontaneous spinal subdural hematoma is a rare disease. Several predisposing factors are reported including impaired clotting due to therapeutic anticoagulation or hematologic disorder, vascular anomaly, intraspinal tumor, and iatrogenic causes such as lumbar puncture or spinal anesthesia.We report a rare case of spontaneous spinal subdural hematoma developed after weightlifting in a healthy young man treated with conservative treatment.

Acute Spontaneous Spinal Subdural Hematoma with Vague Symptoms

“…The most common site of SSDH is in the thoracolumbar or lumbar segment 11) . Most of patients present with pain, quadriplegia, paraplegia, sensory change or cauda equina syndrome 3 , 4 , 5 , 7 , 9 , 11 , 12 , 13 , 14 , 15) . And, sometimes patients show unusual manifestations such as pure hemiparesis 11) .…”

“…It is often misdiagnosed as cerebrovascular accidents if the patient shows an unilateral involvement of motor or sensory disturbance 11) . There are reports that showed successful treatment of SSDH with conservative management 4 , 5 , 7 , 8 , 9 , 11 , 13 , 14 , 15) . However, in some cases, SSDH may need surgical treatment and besides, in some cases, neurologic deficit can persist 3 , 4 , 6 , 7 , 10 , 12 , 15) .…”

“…And many of patients are associated with underlying coagulopathy or receiving anticoagulant and antiplatelet agent 11) . Typical symptoms related with SDH are neck pain, radicular pain and myelopathy such as quadriplegia or quadriparesis 3 , 4 , 7 , 9 , 11 , 12 , 13 , 14 , 15) . These symptoms occur due to the cord compression by hematoma.…”