AI Summary & Key Takeaways
AI InsightSpinal chronic subdural hematoma should be considered in the differential diagnosis in these patients, especially in those with coagulopathies, even in the absence of a history of trauma.
📌 3 Key Takeaways
Abstract
A22-year-old man with medical history of Hemophilia Awas admitted with a 3- month history of low back pain radiating to the right leg. Neurological examination revealed no abnormalities. Spinal magnetic resonance imaging (MRI) with gadolinium enhancement revealed an intradural extramedullary mass at the level of L1 reported as an intradural tumor. The patient was operated after Factor VIII replacement. Intraoperatively, the lesion was found to be a pure subdural hematoma. The histopathological examination revealed pure chronic hematoma. Postoperatively the patient's complaints showed improvement and he was discharged with no complications. Although MRI is the gold standard of diagnosis for spinal intradural tumors, some mass lesions remain difficult to diagnose. Spinal chronic subdural hematoma should be considered in the differential diagnosis in these patients, especially in those with coagulopathies, even in the absence of a history of trauma.
Özet
22 yaşında, Hemofili A hikayesi olan, 3 ay önce başlayan bel ve sağ bacak ağrısı ile başvuran, nörolojik muayenesinde özellik bulunmayan ve spinal MR'ında L1 seviyesinde kontrast tutan intradural kitle öntanısı konulan bir hasta sunduk. Preop dönemde Faktör VIII replasmanı uygulanan hasta perop bulgusu olarak pür hematom bulundu. Histopatolojik değerlendirme sonucunda pür kronik hematom olarak belirtildi. MR görüntülemesinde intradural tümörlerin tanısını kolaylıkla konulabilmesine rağmen bazı kitle lezyonların tanısı zor konulmaktadır. Bu tür vakalarda, travma hikayesi olmasa bile, koagulopati hastalığı olan hastalarda ayrıcı tanıda spinal kronik subdural hematom gözün önünde bulundurmak gerekmektedir.