[Intraspinal subdural hematoma after polytrauma].

Abstract

A severely injured patient was intubated at the accident site. The polytrauma computed tomography (CT) revealed complex injuries to the trunk and open fractures of the extremities. Stable fractures of the C2 and L4 vertebrae were identified in the spine. During the course of treatment a sensorimotor deficit in the lower extremities persisted on extubation. Magnetic resonance imaging (MRI) revealed an intraspinal subdural hemorrhage with absolute stenosis of the spinal canal. Immediate decompression did not result in any improvement of symptoms. A spinal subdural hematoma is a rare condition with severe consequences for the patient.