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Treatment of spontaneous cervical spinal subdural hematoma with methylprednisolone pulse therapy.

Authors
 Tae-Jin Song  ;  Jun-Bum Lee  ;  Young-Chul Choi  ;  Kyung-Yul Lee  ;  Won-Joo Kim 
Citation
 YONSEI MEDICAL JOURNAL, Vol.52(4) : 692-694, 2011 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2011
MeSH
Cervical Vertebrae/diagnostic imaging ; Cervical Vertebrae/pathology ; Glucocorticoids/administration & dosage ; Glucocorticoids/therapeutic use* ; Hematoma, Subdural, Spinal/diagnostic imaging ; Hematoma, Subdural, Spinal/drug therapy* ; Hematoma, Subdural, Spinal/pathology ; Humans ; Magnetic Resonance Imaging ; Male ; Methylprednisolone/administration & dosage ; Methylprednisolone/therapeutic use* ; Middle Aged ; Paraparesis/diagnostic imaging ; Paraparesis/drug therapy ; Paraparesis/pathology ; Tomography, X-Ray Computed
Keywords
Spinal subdural hematoma ; pulse therapy ; spinal cord
Abstract
We report herein a case of hyperacute onset of spontaneous cervical spinal subdural hematoma treated with methylprednisolone pulse therapy that showed good results. A 57-year-old man was admitted for posterior neck pain and paraparesis which occurred an hour ago. MRI revealed a ventral subdural hematoma distributed from the level of C1 down to T3, compressing the spinal cord. Conservative management with methylprednisolone pulse therapy was administered considering the patient's poor general condition. Although emergent surgical decompression is necessary in most cases of spinal subdural hematoma, conservative management with steroid therapy could be effective
Files in This Item:
T201101390.pdf Download
DOI
10.3349/ymj.2011.52.4.692
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Won Joo(김원주) ORCID logo https://orcid.org/0000-0002-5850-010X
Song, Tae Jin(송태진)
Lee, Kyung Yul(이경열) ORCID logo https://orcid.org/0000-0001-5585-7739
Choi, Young Chul(최영철) ORCID logo https://orcid.org/0000-0001-5525-6861
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93211
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