Severe delayed diffuse cerebral vasospasm and cerebral infarctions following spinal subdural hemorrhage.

Abstract:

BACKGROUND:We report a rare case of severe delayed cerebral vasospasm with cerebral infarctions after spinal subdural hemorrhage. CASE REPORT:A 56-year-old woman presented with an acute onset of paraplegia. MR-imaging revealed an extensive intraspinal hemorrhage reaching from T1 to L1. The hematoma was evacuated via a T8-laminectomy. At the 7th postoperative day the patient developed visual disturbances. MR-scanning revealed extensive infarctions and cerebral angiography showed severe diffuse vasospasms. INTERPRETATION:This case demonstrates that cerebral vasospasm may be caused by a spinal subdural hemorrhage, supporting the hypothesis that cerebral vasospasm may be triggered by factors from a remote site and that a direct contact of blood clots with the vessel is not mandatory.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Setzer M,Weidauer S,Zimmermann M,Berkefeld J,Seifert V,Raabe A

doi

10.1007/s00701-004-0233-4

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

517-20

issue

5

eissn

0001-6268

issn

0942-0940

journal_volume

146

pub_type

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