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Case Rep Neurol
. 2024 Nov 29;16(1):294-303.
doi: 10.1159/000528310. eCollection 2024 Jan-Dec. COVID-19-Related Spinal Subdural Hematoma Presented with Acute Compressive Myelopathy with a Review of the Literature
Hasanain A Al-Khalidi 1 , Hayder K Hassoun 1 , Zahra Aljid 1 , Zuhair Allebban 2
Affiliations
Introduction: Neurological complication due to coronavirus disease 2019 (COVID-19) is accumulating and compressive myelopathy due to spinal subdural hematoma (SSDH) is rarely reported in association with COVID-19.
Case presentation: A 55-year-old male was presented with sudden onset of areflexic paraparesis, urinary retention, loss of all sensations below twelve spinal thoracic segments, and severe back pain. This condition necessitated an immediate order of a spinal cord MRI followed by an urgent surgery, which was crucial to save the spinal cord. COVID-19 was confirmed by a positive reverse-transcription-polymerase chain reaction and spinal MRI showed SSDH.
Conclusion: For a patient who presents with acute onset of severe back pain and myelopathy without a history of trauma, SSDH should be suspected. Additionally, coagulopathy associated with COVID-19 infection should increase the suspicion of SSDH which needs immediate surgical treatment to save the spinal cord.
Keywords: Acute paraparesis; COVID-19; Spinal subdural hematoma.
. 2024 Nov 29;16(1):294-303.
doi: 10.1159/000528310. eCollection 2024 Jan-Dec. COVID-19-Related Spinal Subdural Hematoma Presented with Acute Compressive Myelopathy with a Review of the Literature
Hasanain A Al-Khalidi 1 , Hayder K Hassoun 1 , Zahra Aljid 1 , Zuhair Allebban 2
Affiliations
- PMID: 39619892
- PMCID: PMC11606623
- DOI: 10.1159/000528310
Introduction: Neurological complication due to coronavirus disease 2019 (COVID-19) is accumulating and compressive myelopathy due to spinal subdural hematoma (SSDH) is rarely reported in association with COVID-19.
Case presentation: A 55-year-old male was presented with sudden onset of areflexic paraparesis, urinary retention, loss of all sensations below twelve spinal thoracic segments, and severe back pain. This condition necessitated an immediate order of a spinal cord MRI followed by an urgent surgery, which was crucial to save the spinal cord. COVID-19 was confirmed by a positive reverse-transcription-polymerase chain reaction and spinal MRI showed SSDH.
Conclusion: For a patient who presents with acute onset of severe back pain and myelopathy without a history of trauma, SSDH should be suspected. Additionally, coagulopathy associated with COVID-19 infection should increase the suspicion of SSDH which needs immediate surgical treatment to save the spinal cord.
Keywords: Acute paraparesis; COVID-19; Spinal subdural hematoma.