Abstract
Acute spinal subdural hematoma is a very rare cause of spinal cord compression. When it does occur, it may have disastrous consequence. The formation of acute spinal subdural hematoma may result from iatrogenic causes such as spinal puncture or epidural anesthesia in association with coagulation of abnormalities. Because of spinal emergency, the accuracy of diagnosis and time interval between the onset of symptoms and surgical evacuation are very important, and the therapeutic outcomes are determined by these factors.
We report a case of an elderly male with a history of liver cirrhosis who developed spinal subdural hematoma. The patient complained of sudden severe back pain and flaccid paraplegia with sensory deficit. Although the surgical evacuation was performed five hours after the symptoms first appeared, there were no remarkable improvements in neurological conditions after surgical evacuation.
