TY - JOUR JF - IrJNS JO - Iran J Neurosurg VL - 7 IS - 2 PY - 2021 Y1 - 2021/4/01 TI - Spinal Subdural Hematoma With Paraplegia Mimicking Dorsolumbar Prolapsed Disc: A Case Report TT - N2 - Background and Importance: Spinal Subdural Hematoma (SSH) is a rare condition with an unknown incidence in the general population. Iatrogenic spinal subdural hematoma radiologically mimicking a prolapsed dorsolumbar disc has not been published in the literature. Case Presentation: A 65-year-old female presented with altered sensorium and generalized weakness for 3 days evaluated by a neurologist who diagnosed it as a metabolic encephalopathy with Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH) with severe anemia and hypothyroidism. She underwent a diagnostic lumbar puncture and following which, within 24 hours, she developed weakness of both the lower limbs. MRI of dorsolumbar spine was done which revealed D12-L1 extruded disc causing severe compression to the conus medullaris with D12-L2 subarachnoid lesion and cord edema. On opening the dura, a large organized hematoma on the anterior aspect of the conus was seen and evacuated. Conclusion: Spinal subdural hematoma presents with a spectrum of signs and symptoms. Although MRI is the investigation of choice but SSH presenting like a prolapsed intervertebral disc on MRI is one of its kinds and should be kept in mind since it carries a grave prognosis if not treated early with emergency decompression. SP - 113 EP - 118 AU - Singh, Vishal AU - Arif, Sajad Hussain AD - Department of Neurosurgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India KW - Subdural hematoma KW - Paraplegia KW - Prolapsed disc KW - Lumbar puncture KW - Conus medullaris UR - http://irjns.org/article-1-260-en.html DO - 10.32598/irjns.7.2.6 ER -