Spinal Subdural Hematoma Associated With Traumatic Intracranial Interhemispheric Subdural Hematoma
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- WAJIMA Daisuke
- Department of Neurosurgery, Nabari City Hospital
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- YOKOTA Hiroshi
- Department of Neurosurgery, Nabari City Hospital
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- IDA Yuki
- Department of Neurosurgery, Nabari City Hospital
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- NAKASE Hiroyuki
- Department of Neurosurgery, Nara Medical University School of Medicine
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- タイトル別名
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- —Case Report—
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A 78-year-old female fell and hit the back of her head on the floor. Head computed tomography (CT) showed right acute interhemispheric subdural hematoma (ISDH). Her left hemiparesis worsened, so partial removal of ISDH was performed. The hemiparesis was improved, but leg monoparesis persisted. Lumbar magnetic resonance imaging showed spinal subdural hematoma (SSDH) at the S1-2 level. Nerve conduction velocity measurements at the knee joint to lower limb showed disappearance of the left peroneal nerve conduction wave, indicating that one of the causes of drop foot was common peroneal nerve palsy. With conservative therapy, her drop foot was gradually improved, then she recovered to walk with a stick and moved to a rehabilitation hospital. Lumbar MR imaging should be performed to rule out SSDH in a patient with posterior fossa subdural hematoma on initial head CT who develops leg palsy.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 52 (9), 636-639, 2012
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680033214720
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- NII論文ID
- 10030872958
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- NII書誌ID
- AN00358613
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- COI
- 1:STN:280:DC%2BC38bpslWmtg%3D%3D
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- ISSN
- 13498029
- 04708105
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- PubMed
- 23006875
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- PubMed
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- 使用不可