Lumbar Pain with Intracranial Origin

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 lumba...

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Bibliographic Details
Published in:Acta radiologica (1987) 2013-04, Vol.54 (3), p.324-326
Main Authors: Perlepe, Vasiliki, Haenecour, Luc, Duprez, Thierry, Omoumi, Patrick, Vande Berg, Bruno C, Lecouvet, Frederic E
Format: Article
Language:English
Subjects:
Accidental Falls
Brain Injuries - complications
Diagnosis, Differential
Female
Hematoma, Subdural - diagnosis
Humans
Low Back Pain - diagnosis
Magnetic Resonance Imaging
Middle Aged
Tomography, X-Ray Computed
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Summary: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.
ISSN:0284-1851
1600-0455
DOI:10.1177/0284185112471794