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Case Reports: Reminder of important clinical lesson
Cranial subdural migrating to lumbar subdural space in a toddler
  1. Catherine Wassef1,
  2. Anmol Almast2 and
  3. Shehanaz Ellika3
  1. 1Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA
  2. 2University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
  3. 3Department of Radiology, University of Rochester Medical Center, Rochester, New York, USA
  1. Correspondence to Dr Catherine Wassef; catherine_wassef{at}urmc.rochester.edu

Abstract

Migrated spinal subdural haematoma (sSDH) is a significantly uncommon finding. This case involves a paediatric patient representing after cranial trauma with new abnormal gait and leg pain who was found to have a migrated sSDH. Literature review for reported cases of pathogenesis theories, causes and management was performed and summarised in this report. The authors concluded that new abnormal gait and leg pain in a paediatric patient with previous cranial trauma is an indication for spinal MRI if migrated subdural haematoma is suspected. Non-surgical management is generally tolerated, and steroids can be trialled for radiculopathy if clinically indicated.

  • Neurological injury
  • Pain (neurology)
  • Trauma CNS /PNS
  • Paediatrics
  • Neurosurgery

http://dx.doi.org/10.1136/bcr-2022-251984

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    Footnotes

    • Contributors CW contributed to the concept, manuscript drafting and editing. AA contributed to the manuscript drafting. SE contributed to the manuscript drafting, editing and figures.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.