Abstract
A 63-year-old woman developed acute back pain and sciatica after playing hula-hoop. Urinary incontinence was also noted. Magnetic resonance imaging revealed acute thoracolumbar spinal subdural hematoma. After emergency surgical decompression and evacuation of the spinal subdural hematoma, the patient had good recovery without any postoperative neurologic deficit. In this article, we describe and review the clinical presentations, characteristic findings from imaging studies, and treatment of spinal subdural hematoma.