Resumen
Los hematomas espinales no traumáticos son condiciones clínicas infrecuentes dentro de la literatura médica, sin embargo se han descrito varios casos comprometiendo los diversos compartimientos a nivel medular e inclusive secundario a migración de hematomas de origen intracraneal. Con este artículo se pretende revisar esta patología como urgencia neuroquirúrgica con el principal propósito de dar a conocer en la práctica médica las manifestaciones clínicas y posibles factores relacionados. Se da una idea de la importancia del tratamiento quirúrgico temprano y del pronóstico neurológico. (MÉD.UIS. 2012;25(3):239-44).
Referencias
1. Morandi X, Riffaud L, Chabert E, Brassier G. Acute nontraumatic spinal subdural hematomas in three patients. Spine. 2001;26(23):E547-51.
2. Varela-Rois P, Regueira-Portas M, de Prado-San José F, González-García J, de la Lama A, Rodríguez-Fernández MJ, et al. Hematoma subdural espinal espontáneo. Rev Neurol. 2009;48(3):156-8.
3. Badge R, Chan D. Spinal subdural haematoma in association with anticoagulant therapy, an unusual presentation: a case report and review of literature. Cases J. 2009;2:151.
4. Jackson R. Case of spinal apoplexy. Lancet. 1869;2:5-6.
5. Varela-Rois P, González-García J, Regueira-Portas M, Martínez-Cueto P, Azevedo-González E. Hematomas espinales: la apoplejía espinal. Neurología 2010;25(2):96-103.
6. Dampeer RA. Spontaneous spinal subdural hematoma: case study. Am J Crit Care. 2010;19(2):191-3.
7. Schiller F, Neligan G, Budtz-Olsen O. Surgery in haemophilia: a case of spinal subdural haematoma producing paraplegia. Lancet. 1948;2(6535):842-5.
8. Kishen T, Etherington G, Diwan A. Cranial subdural haematoma with concomitant spinal epidural and spinal subarachnoid haematomas: a case report. J Orthop Surg. 2009;17(3):358-60.
9. Seung-Hun O, In-Bo H, Young-Ho K, Ok-Joon K. Acute spinal subdural hematoma presenting with spontaneously resolving hemiplegia. J Korean Neurosurg Soc. 2009;45:390-3.
10. Yamaguchi S. Simultaneous cranial and spinal subdural hematoma. Neurol Med Chir (Tokyo). 2005;45:645-9.
11. Friday R, Pollack IF, Bowen A, Pollack A , Ragni M. Spontaneous spinal subdural hematoma in a young adult with hemophilia. J Natl Med Assoc. 1999;91(5):289-94.
12. Cincu R, Lorente F, Rivero D, Eiras J, Ara JR. Spontaneous subdural hematoma of the thoracolumbar region with massive recurrent bleed .Indian J Orthop. 2009;43(4):412–5.
13. Singh D, Chauhan M, Gupta V, Chopra S, Bagaria H. Spinal subdural hematoma: a rare complication of spinal anesthesia- a case report. Turk Neurosurg. 2008;18(3):324-6.
14. Santos JA, Paniagua JC, Asensio JF, Bonal E, de Castroa FJ. Hematoma espinal subdural espontáneo. Radiología. 2005;47(5):291-5.
15. Kyriakides AE, Lalam RK, El Masry WS. Acute spontaneous spinal subdural hematoma presenting as paraplegia. Spine. 2007;32(21):E619–22.
16. Arriada-Mendicoa N, Ramos-Peek MA. Hematoma epidural holomedular poscirugía cardíaca. Rev Neurol. 2003;36(6):530-3.
17. Jin-Sung K, Sang-Ho L. Spontaneous spinal subarachnoid hemorrhage with spontaneous resolution. J Korean Neurosurg Soc. 2009;45:253-5.
18. Ayerbe J, Quiñones D, Prieto E, Sousa P. Hematoma subaracnoideo espinal tras punción lumbar en paciente con leucemia. Presentación de un caso y revisión de la literatura. Neurocirugía. 2005;16:447-52.
19. Domenicucci M, Ramieri A, Ciapetta P, Delfini R. Nontraumatic acute spinal subdural hematoma: report of five cases and review of the literature. J Neurosurg. 1999;91(1 Suppl):65-73.
20. Kakitsubata Y, Theodorou SJ, Theodorou DJ, Miyata Y, Ito Y, Yuki Y. Spontaneous spinal subarachnoid hemorrhage associated with subdural hematoma at different spinal levels. Emerg Radiol. 2010;17:69-72.
21. Kreppel D, Antoniadis G, Seeling W. Spinal hematoma: a literature survey with metaanalysis of 613 patients. Neurosurg Rev. 2003;26:1-49.
22. Baek BS, Hur JW, Kwon KY, Lee HK. Spontaneous spinal epidural hematoma. J Korean Neurosurg Soc. 2008;44(1):40-2.
23. Chun-Lin L, Cheng-Hsin C, Der-Yang C. Rhabdomyolysis accompanied by spontaneous spinal subdural and subarachnoid hematoma related to amphetamine abuse. Spine. 2010;35(2):71-3.
24. Komiyama M, Yasui T, Sumimoto T, Fu Y. Spontaneous spinal subarachnoid hematoma of unknown pathogenesis: case reports. Neurosurgery. 1997;41(3):691–3.
25. Leech RW, Pitha JV, Brumback RA. Spontaneous haematomyelia:
2. Varela-Rois P, Regueira-Portas M, de Prado-San José F, González-García J, de la Lama A, Rodríguez-Fernández MJ, et al. Hematoma subdural espinal espontáneo. Rev Neurol. 2009;48(3):156-8.
3. Badge R, Chan D. Spinal subdural haematoma in association with anticoagulant therapy, an unusual presentation: a case report and review of literature. Cases J. 2009;2:151.
4. Jackson R. Case of spinal apoplexy. Lancet. 1869;2:5-6.
5. Varela-Rois P, González-García J, Regueira-Portas M, Martínez-Cueto P, Azevedo-González E. Hematomas espinales: la apoplejía espinal. Neurología 2010;25(2):96-103.
6. Dampeer RA. Spontaneous spinal subdural hematoma: case study. Am J Crit Care. 2010;19(2):191-3.
7. Schiller F, Neligan G, Budtz-Olsen O. Surgery in haemophilia: a case of spinal subdural haematoma producing paraplegia. Lancet. 1948;2(6535):842-5.
8. Kishen T, Etherington G, Diwan A. Cranial subdural haematoma with concomitant spinal epidural and spinal subarachnoid haematomas: a case report. J Orthop Surg. 2009;17(3):358-60.
9. Seung-Hun O, In-Bo H, Young-Ho K, Ok-Joon K. Acute spinal subdural hematoma presenting with spontaneously resolving hemiplegia. J Korean Neurosurg Soc. 2009;45:390-3.
10. Yamaguchi S. Simultaneous cranial and spinal subdural hematoma. Neurol Med Chir (Tokyo). 2005;45:645-9.
11. Friday R, Pollack IF, Bowen A, Pollack A , Ragni M. Spontaneous spinal subdural hematoma in a young adult with hemophilia. J Natl Med Assoc. 1999;91(5):289-94.
12. Cincu R, Lorente F, Rivero D, Eiras J, Ara JR. Spontaneous subdural hematoma of the thoracolumbar region with massive recurrent bleed .Indian J Orthop. 2009;43(4):412–5.
13. Singh D, Chauhan M, Gupta V, Chopra S, Bagaria H. Spinal subdural hematoma: a rare complication of spinal anesthesia- a case report. Turk Neurosurg. 2008;18(3):324-6.
14. Santos JA, Paniagua JC, Asensio JF, Bonal E, de Castroa FJ. Hematoma espinal subdural espontáneo. Radiología. 2005;47(5):291-5.
15. Kyriakides AE, Lalam RK, El Masry WS. Acute spontaneous spinal subdural hematoma presenting as paraplegia. Spine. 2007;32(21):E619–22.
16. Arriada-Mendicoa N, Ramos-Peek MA. Hematoma epidural holomedular poscirugía cardíaca. Rev Neurol. 2003;36(6):530-3.
17. Jin-Sung K, Sang-Ho L. Spontaneous spinal subarachnoid hemorrhage with spontaneous resolution. J Korean Neurosurg Soc. 2009;45:253-5.
18. Ayerbe J, Quiñones D, Prieto E, Sousa P. Hematoma subaracnoideo espinal tras punción lumbar en paciente con leucemia. Presentación de un caso y revisión de la literatura. Neurocirugía. 2005;16:447-52.
19. Domenicucci M, Ramieri A, Ciapetta P, Delfini R. Nontraumatic acute spinal subdural hematoma: report of five cases and review of the literature. J Neurosurg. 1999;91(1 Suppl):65-73.
20. Kakitsubata Y, Theodorou SJ, Theodorou DJ, Miyata Y, Ito Y, Yuki Y. Spontaneous spinal subarachnoid hemorrhage associated with subdural hematoma at different spinal levels. Emerg Radiol. 2010;17:69-72.
21. Kreppel D, Antoniadis G, Seeling W. Spinal hematoma: a literature survey with metaanalysis of 613 patients. Neurosurg Rev. 2003;26:1-49.
22. Baek BS, Hur JW, Kwon KY, Lee HK. Spontaneous spinal epidural hematoma. J Korean Neurosurg Soc. 2008;44(1):40-2.
23. Chun-Lin L, Cheng-Hsin C, Der-Yang C. Rhabdomyolysis accompanied by spontaneous spinal subdural and subarachnoid hematoma related to amphetamine abuse. Spine. 2010;35(2):71-3.
24. Komiyama M, Yasui T, Sumimoto T, Fu Y. Spontaneous spinal subarachnoid hematoma of unknown pathogenesis: case reports. Neurosurgery. 1997;41(3):691–3.
25. Leech RW, Pitha JV, Brumback RA. Spontaneous haematomyelia:
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