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Vol. 11. Issue 6.
Pages 441-445 (January 2000)
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Vol. 11. Issue 6.
Pages 441-445 (January 2000)
Hematomas subdurales crónicos intraespinal e intracraneal simultáneos
Simultaneous subdural intraspinal and intracranial hematoma
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Ma.C. Joly Torta, J. Rimbau Muñoz, S. Martín Ferrer
Servicio de Neurocirugía Hospital Universitari de Girona Dr. Josep Trueta
J.C. Vilanova Busquets*
* Unidad de Resonancia Magnética Clínica Girona
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Resumen

El hematoma subdural espinal crónico o subagudo es una entidad infrecuente en la práctica neuroquirúrgica. Su asociación a un hematoma subdural intracraneal se ha reportado sólo en 2 ocasiones. Presentamos un nuevo caso en una paciente anciana en tratamiento anticoagulante y con antecedente de traumatismo menor. Realizamos una breve revisión de los hematomas subdurales espinales subagudos y crónicos publicados hasta ahora en la literatura. Se discute también la imagen RMN y su fisiopatología.

Palabras Clave:
Hematoma subdural espinal
Hematoma subdural intracraneal
Paraplejia
Summary

Chronic or subacute spontaneous subdural spinal hematomas are not frequentIy seen in neurosurgical practice. The occurrence of a combined subdural spinal and intracranial hematoma have only been reported in 2 cases. We describe a new case in an elderly wornan who was treated with anticoagulant therapy. She had a possible history of a minor trauma. We review the literature concerning spinal subdural hematomas. MR imaging and pathogenic mechanism are discussed.

Key Words:
Spinal subdural hematoma
Intracranial subdural hematoma
Paraplegia

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