Lumbar Pain with Intracranial Origin. (April 2013)

• Record Type: Journal Article
• Authors: Perlepe, Vasiliki; Haenecour, Luc; Duprez, Thierry; Omoumi, Patrick; Vande Berg, Bruno C; Lecouvet, Frederic E
• Is Part Of: Acta radiologica. Volume 54:Number 3(2013)
• Page Start: 324
• Page End: 326
• Publication Date: 2013-04
• Subjects: Spinal subdural hematoma -- intracranial hematoma -- trauma; Radiology, Medical -- Periodicals; Radiography, Medical -- Periodicals; Radiotherapy -- Periodicals; 616.0757
• DOI: 10.1177/0284185112471794
• Languages: English
• ISSNs: 0284-1851

Abstract

A 48-year-old woman presented low-back pain radiating to the lower right leg. Magnetic resonance imaging (MRI) of the lumbar spine revealed a L4-L5 subacute subdural hematoma (SDH). The patient had no general or local cause for this lumbar SDH, such as coagulation disorder, trauma, surgery, or lumbar puncture. She had a history of post-traumatic bilateral hemorrhagic contusions of the brain and intracranial SDH because of a fall occurring several months before the current problems. A downward migration of the cerebral SDH was found as only potential explanation of the lumbar SDH. The association between the intracranial and spinal hematomas is discussed.