Traumatic Lumbar Subdural Hematoma: Clinical Image

Abstract

We present the case of a 21-year-old male with sudden onset back pain while exercising and one week of progressive claudication type symptoms culminating in weakness. Imaging revealed a fluid collection consistent with an early subacute subdural hematoma spanning from L3 to midsacrum with the most severe compression at L4-L5. Laminoplasty for subdural hematoma evacuation was required due to neural compression with neurologic deficit. Intraoperative imaging demonstrated good neural decompression without residual hematoma. The patient recovered to his neurologic baseline immediately postoperatively with no symptoms of recurrence over one year. Intraoperative images demonstrated unique findings not previously illustrated in the literature.