Dorsal meningioma and subdural hematoma in a patient without risk factors for anticoagulation. Description of a very atypical case and review of the literature

• Main Authors: Pedro González-Vargas, José Luis Thenier-Villa, Alexandre Serantes Combo, Jesús González García, Eva Azevedo González, Jorge Díaz Molina, Raúl Galárraga Campoverde, Lourdes Calero Félix, Adolfo de la Lama Zaragoza
• Format: Article
• Language: English
• Published: Elsevier 2018-12-01
• Series: Interdisciplinary Neurosurgery
• Online Access: http://www.sciencedirect.com/science/article/pii/S221475191830094X
• ISSN: 2214-7519

Spontaneous hematomas associated with spinal meningiomas have been very rarely reported. They have been frequently associated with coagulation disorders or traumatic lumbar punctures.We report a case of a 72-year-old woman without coagulation disorders with a dorsal meningioma at D9-D10 level admitted in our hospital for scheduled surgical treatment. While awaiting surgery she developed an acute neurological worsening due to a subdural hematoma and required urgent surgical evacuation. After the surgery, the patient had a complete neurological recovery. This is probably the first case reported in the literature of this presentation to date. Keywords: Meningioma, Hematoma, Subdural, Dorsal, Deficit