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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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Maurizio Domenicucci, Cristina Mancarella, Giorgio Santoro, Demo Eugenio Dugoni, Alessandro Ramieri, Maria Felice Arezzo and Paolo Missori

al., 2009 13, M T5–6 Posterior Yes 1 Yes 8 hrs 0 Hemophilia Sarubbo et al., 2009 65, F L3–4 Posterior No Minor 1 Yes NR 0 CSEH, rectal carcinoma, alcoholism 85, M L-3 Lateral No 1 Yes NR 0 CSEH Badar et al., 2011 35, F T2–8 Anterior No 2 Yes NR 1 Pregnancy at 37 wks Cha et al., 2011 40, M L5–S1 Anterolateral No Major 3 Yes 7 days 0 Wang et al., 2011 29, F C5–7 Posterior No 3 Yes NR 1 Pregnancy Jaeger et al., 2012 61, F C2–T8 Anterolateral NR Yes Minor 3 No 0 Rivaroxaban Truumees et al., 2012 72, M T7–12 NR Major 3 Yes 2 AF, dabigatran Present study 70, F T7