Primary Diagnosis

Spontaneous intradural hemorrhage secondary to coagulopathy.

Secondary Diagnosis

N/A

Diagnosis Discussion

Spontaneous subdural hematoma in the spinal canal is a relatively rare entity compared to the intracranial process. In many instances, the etiology remains elusive, however, some underlying processes have been associated with this syndrome. This includes spinal-dural arterio-venous fistulas, carcinomatosis with vascular/hemorrhagic primary, traumatic lumbar puncture and intrinsic coagulopathy. In this patient, intrinsic coagulopathy and carcinomatosis are both present.

General Anatomic Area:

Lumbar

Secondary Anatomic Area:

N/A

Disease Category:

Hematologic

Contributor:

AE Flanders, MD

Date:

02/01/04

Difficulty Level:

Difficult

Pathology Confirmed?:

Yes
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ACR Category Number:

N/A

Keywords:

spontaneous hemorrhage, intradural space, subdural space,coagulopathy