0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Images in Neurology |

Cerebral and Spinal Cord Subdural Hematomas

Alexandra LaMela, MS; Karen M. Lynch, MD, MRCPI; Mary Anne Muriello, MD; Doreen T. Ho, MD
Arch Neurol. 2012;69(4):543. doi:10.1001/archneurol.2011.2220.
Text Size: A A A
Published online

Extract

A 58-year-old man came to us from another hospital with severe back pain radiating to the knees, lower extremity weakness, and mild headache over 3 weeks. Because of inconsistent monitoring, the patient was supratherapeutic while taking warfarin, which he took for atrial fibrillation (international normalized ratio, 6.2). Magnetic resonance imaging revealed 2 subdural hematomas—1 acute and 1 chronic—along the left cerebral hemisphere and in the spinal cord from T5 to T12 as well as in the lumbosacral canal (Figure 1 and Figure 2).1The only trauma he reported was periodically hitting his head on a shelf in his home. He underwent frontotemporal craniotomy and hematoma evacuation when his international normalized ratio was 1.4. His lower extremity deficits improved with conservative treatment. He did well postoperatively, having only minor headaches at follow-up.

Figures in this Article

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview

Figures

Place holder to copy figure label and caption
Graphic Jump Location

Figure 1. Brain magnetic resonance image without contrast. Axial T1 image of the brain revealed 2 left-sided subdural hematomas of differing ages with associated mass effect.

Place holder to copy figure label and caption
Graphic Jump Location

Figure 2. Thoracic and lumbar magnetic resonance images without contrast. A, Sagittal T1 image of the thoracic spine showed a hyperintense signal in the posterior aspect of the spinal canal from T5 to T12. B, A prone axial T2 view revealed layering of blood consistent with subdural hematomas. C, Pooling of blood in the lumbosacral canal was noted in the sagittal T1 image.

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

222 Views
1 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();