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Nontraumatic acute spinal subdural hematoma

Report of five cases and review of the literature

Maurizio Domenicucci, Alessandro Ramieri, Pasquale Ciappetta and Roberto Delfini

 LP CSF control * 25 22 3  LP myelography 2 1 1  spinal surgery 3 3 spontaneous 36 21 15 other (tumor, AVM) 17 1 16 * Two cervical punctures. Abbreviation: AVM = arteriovenous malformation. In another 15 cases (14%) the cause of the acute spinal subdural hematoma was purely iatrogenic (the result of LP), although in seven (7%) of these cases there were coexisting conditions: pregnancy, dialytic treatment, diabetes mellitus, arterial hypertension, and alcoholism, either singly or combined

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Alessandro Frati, Maurizio Salvati, Fabrizio Mainiero, Flora Ippoliti, Giovanni Rocchi, Antonino Raco, Emanuela Caroli, Giampaolo Cantore and Roberto Delfini

C hronic subdural hematoma is a common disease in elderly persons and its incidence is highest (seven/100,000 individuals) in persons older than 70 years of age. 32, 33, 43, 54 In approximately 60 to 80% of cases a mild traumatic event is reported to have preceded the hemorrhage; 31, 32, 38, 43, 46, 53 however, a mild traumatic episode may sometimes go unreferred or unrecognized. 32, 33 Risk factors are not limited to the age of the patient; instead they also include the following: alcoholism; concomitant diseases such as liver dysfunction, kidney diseases