COVID-19-Related Spinal Subdural Hematoma Presented with Acute Compressive Myelopathy with a Review of the Literature.

IF 0.6 Q4 CLINICAL NEUROLOGY

Case Reports in Neurology Pub Date : 2024-11-29 eCollection Date: 2024-01-01 DOI:10.1159/000528310

Hasanain A Al-Khalidi, Hayder K Hassoun, Zahra Aljid, Zuhair Allebban

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引用次数: 0

Abstract

Introduction: Neurological complication due to coronavirus disease 2019 (COVID-19) is accumulating and compressive myelopathy due to spinal subdural hematoma (SSDH) is rarely reported in association with COVID-19.

Case presentation: A 55-year-old male was presented with sudden onset of areflexic paraparesis, urinary retention, loss of all sensations below twelve spinal thoracic segments, and severe back pain. This condition necessitated an immediate order of a spinal cord MRI followed by an urgent surgery, which was crucial to save the spinal cord. COVID-19 was confirmed by a positive reverse-transcription-polymerase chain reaction and spinal MRI showed SSDH.

Conclusion: For a patient who presents with acute onset of severe back pain and myelopathy without a history of trauma, SSDH should be suspected. Additionally, coagulopathy associated with COVID-19 infection should increase the suspicion of SSDH which needs immediate surgical treatment to save the spinal cord.

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与covid -19相关的脊髓硬膜下血肿表现为急性压缩性脊髓病并文献综述

导语：2019冠状病毒病（COVID-19）引起的神经系统并发症正在积累，脊髓硬膜下血肿（SSDH）引起的压缩性脊髓病与COVID-19相关的报道很少。病例介绍：一名55岁男性，因突发性屈曲性麻痹、尿潴留、12个胸椎节段以下的所有感觉丧失和严重的背部疼痛而出现。这种情况需要立即进行脊髓MRI检查，然后进行紧急手术，这对挽救脊髓至关重要。通过逆转录聚合酶链反应阳性证实COVID-19，脊柱MRI显示SSDH。结论：对于急性发作的严重背痛和脊髓病而无外伤史的患者，应怀疑SSDH。此外，与COVID-19感染相关的凝血功能障碍应增加对SSDH的怀疑，需要立即进行手术治疗以挽救脊髓。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Neurology Medicine-Neurology (clinical)

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

14 weeks

期刊介绍： This new peer-reviewed online-only journal publishes original case reports covering the entire spectrum of neurology. Clinicians and researchers are given a tool to disseminate their personal experience to a wider public as well as to review interesting cases encountered by colleagues all over the world. To complement the contributions supplementary material is welcomed. The reports are searchable according to the key words supplied by the authors; it will thus be possible to search across the entire growing collection of case reports with universally used terms, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.