Journal of Hematology & Thromboembolic Diseases
Open Access

Causes, Symptoms, Diagnosis and Treatment in Spinal Subdural Hematoma

Margaret E Brooks^{* *}Correspondence: Margaret E Brooks, Department of Hemato Oncology, Coburg University, Coburg, Germany, Email:

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Description

Spinal Subdural Hematoma (SSH) is a rare but serious condition that affects the spinal cord. It occur when blood collects in the space between the dura mater (the tough outer layer of the spinal cord) and the arachnoid mater (the delicate middle layer). This can put pressure on the spinal cord and cause a range of symptoms, from mild back pain to paralysis.

SSH is a relatively uncommon condition, with an estimated incidence of 1 in 100,000 people per year. It is most often seen in elderly individuals, although it can occur in people of all ages. SSH can be caused by a variety of factors, including trauma, anticoagulant therapy, and spinal surgery. In some cases, no clear cause can be identified.

The symptoms of SSH can be variable and may depend on the severity and location of the hematoma. Common symptoms include back pain, weakness or numbness in the legs, difficulty walking or standing, and loss of bowel or bladder control. In severe cases, SSH can cause complete paralysis.

Diagnosing SSH can be challenging, as it is a rare condition that can mimic other spinal cord disorders. Imaging studies, such as Magnetic Resonance Imaging (MRI), are typically used to confirm the diagnosis. In some cases, a spinal tap may be needed to rule out other conditions.

Treatment for SSH typically involves surgery to remove the hematoma and relieve pressure on the spinal cord. In some cases, conservative management may be an option, particularly in cases where the hematoma is small and not causing significant symptoms. However, surgical intervention is typically recommended in cases where the hematoma is large or causing significant neurological deficits. A surgeon opens the skull and then the dura mater, suctions or irrigations the clot, and detects and manages bleeding spots. The boats that have been damaged must be repaired. Increased intracranial pressure, brain edema, new or recurring bleeding, infection, and convulsions are all possible postoperative consequences. It is unknown whether anticonvulsants are detrimental or useful in individuals with a persistent subdural hematoma but no history of seizures.

While SSH is a rare condition, it is important to be aware of its symptoms and risk factors. If you experience back pain or other symptoms that suggest a spinal cord disorder, it is important to seek medical attention promptly. Early diagnosis and treatment can help to improve outcomes and prevent long-term complications.

In addition to raising awareness of SSH, there is a need for further research into the condition, particularly with respect to its causes and risk factors. This will help to improve our understanding of the condition and inform the development of more effective treatments.

Conclusion

SSH is a rare but serious condition that can cause significant neurological deficits. It is important for healthcare providers and patients alike to be aware of its symptoms and risk factors, in order to facilitate prompt diagnosis and treatment. While SSH can be challenging to diagnose and treat, early intervention can help to improve outcomes and prevent long-term complications.