{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:48:01Z","timestamp":1791938881673,"version":"4.3.4"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"15","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2026,10,12]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Spontaneous chronic spinal subdural hematomas (cSSDHs) are a rarely reported clinical pathology in pediatric patients in which subdural blood accumulates without an obvious etiology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors report 2 cases of pediatric patients with cSSDHs with no known nonaccidental trauma, coagulopathy, or underlying vascular malformation. The patients presented with progressive back pain and paresthesias. Both cases were treated successfully with decompression and evacuation of subdural blood products using a posterior short-segment laminectomy (case 1) or laminoplasty (case 2), which yielded satisfactory improvement in pain and no recurrence through follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Chronic SSDHs are not always associated with an underlying vascular malformation or coagulopathy. Posterior decompression and evacuation of blood products can yield satisfactory outcomes without early recurrence. Spontaneous spinal subdural hematoma should be a diagnosis of exclusion after thorough workup to rule out potentially underlying etiologies of the pathology.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE26105\">https:\/\/thejns.org\/doi\/10.3171\/CASE26105<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case26105","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:01:13Z","timestamp":1791331273000},"source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous chronic spinal subdural hematomas in pediatric patients: illustrative cases"],"prefix":"10.3171","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9512-0133","authenticated-orcid":true,"given":"Austin J.","family":"Allen","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Advocate Health Carolinas Medical Center, Charlotte, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Griffin","family":"Laird","sequence":"additional","affiliation":[{"name":"Department of Undergraduate Medical Education, University of Tennessee Health Science Center School of Medicine, Memphis, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3856-1623","authenticated-orcid":true,"given":"Daniel","family":"Zeitouni","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Advocate Health Carolinas Medical Center, Charlotte, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott D.","family":"Wait","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Advocate Health Carolinas Medical Center, Charlotte, North Carolina"},{"name":"Department of Neurosurgery, Carolina Neurosurgery and Spine Associates, Charlotte"},{"name":"Department of Neurosurgery, Advocate Health Levine Children\u2019s Hospital, Charlotte"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chad T.","family":"Jacobsen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Hematology and Oncology, Advocate Health Levine Children\u2019s Hospital, Charlotte, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8666-9706","authenticated-orcid":true,"given":"Christopher M.","family":"Holland","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Advocate Health Carolinas Medical Center, Charlotte, North Carolina"},{"name":"Department of Neurosurgery, Carolina Neurosurgery and Spine Associates, Charlotte"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"bib1","series-title":"Neurologist","first-page":"34","article-title":"Spontaneous spinal subdural hematoma","volume":"22","author":"De Beer","year":"2017","unstructured":"De BeerMHEysink SmeetsMMKoppenH.Spontaneous spinal subdural hematoma. Neurologist. 2017;22(1):34-39. doi:10.1097\/NRL.0000000000000100"},{"issue":"2","key":"bib2","series-title":"J Neurosurg","first-page":"255","article-title":"Subdural hematoma from a Type I spinal arteriovenous malformation. Case report","volume":"90","author":"Han","year":"1999","unstructured":"HanPPTheodoreNPorterRWDetwilerPWLawtonMTSpetzlerRF.Subdural hematoma from a Type I spinal arteriovenous malformation. Case report. J Neurosurg. 1999;90(2)(suppl):255-257. doi:10.3171\/spi.1999.90.2.0255"},{"issue":"1","key":"bib3","series-title":"Neurosurgery","first-page":"133","article-title":"Spontaneous spinal subdural hematoma: case report and review of the literature","volume":"29","author":"Calhoun","year":"1991","unstructured":"CalhounJMBoopF.Spontaneous spinal subdural hematoma: case report and review of the literature. Neurosurgery. 1991;29(1):133-134. doi:10.1227\/00006123-199107000-00025"},{"issue":"8","key":"bib4","series-title":"J Pain","first-page":"471","article-title":"Low back pain due to spinal chronic subdural hematoma mimicking intradural tumor in the lumbar area: a case report and literature review","volume":"4","author":"Kahraman","year":"2003","unstructured":"KahramanS\u015eirinSKayaliHSolmazIBed\u00fckA.Low back pain due to spinal chronic subdural hematoma mimicking intradural tumor in the lumbar area: a case report and literature review. J Pain. 2003;4(8):471-475. doi:10.1067\/S1526-5900(03)00732-6"},{"issue":"2","key":"bib5","series-title":"Clin Case Rep","first-page":"e6993","article-title":"Spontaneous idiopathic spinal subdural hemorrhage in a 16-year-old boy: a rare case in pediatrics and review of literature","volume":"11","author":"Ahrari","year":"2023","unstructured":"AhrariIJamaliMMohammadiSSpontaneous idiopathic spinal subdural hemorrhage in a 16-year-old boy: a rare case in pediatrics and review of literature. Clin Case Rep. 2023;11(2):e6993. doi:10.1002\/ccr3.6993"},{"issue":"5","key":"bib6","series-title":"Neurol Med Chir (Tokyo)","first-page":"231","article-title":"Rapid spontaneous remission of a spontaneous spinal chronic subdural hematoma in a child","volume":"48","author":"Park","year":"2008","unstructured":"ParkDHChoTHLeeJBRapid spontaneous remission of a spontaneous spinal chronic subdural hematoma in a child. Neurol Med Chir (Tokyo). 2008;48(5):231-234. doi:10.2176\/nmc.48.231"},{"issue":"3","key":"bib7","series-title":"Spinal Cord","first-page":"192","article-title":"Spontaneous spinal subdural hematoma with spontaneous resolution","volume":"38","author":"Kang","year":"2000","unstructured":"KangHSChungCKKimHJ.Spontaneous spinal subdural hematoma with spontaneous resolution. Spinal Cord. 2000;38(3):192-196. doi:10.1038\/sj.sc.3100967"},{"issue":"7","key":"bib8","series-title":"Ultraschall Med","first-page":"E339","article-title":"Spinal subdural effusion\u2014an additional sonographic sign of child abuse","volume":"33","author":"Edelbauer","year":"2011","unstructured":"EdelbauerMMaurerKGassnerI.Spinal subdural effusion\u2014an additional sonographic sign of child abuse. Ultraschall Med. 2011;33(7):E339-E343. doi:10.1055\/s-0031-1281670"},{"key":"bib9","series-title":"Am J Case Rep","first-page":"e948707","article-title":"Subdural hematoma after lumbar puncture in patients with coagulation disorders: a case report and pathogenetic implications","volume":"26","author":"Ding","year":"2025","unstructured":"DingCDuYLiuPXuZChengYDuanW.Subdural hematoma after lumbar puncture in patients with coagulation disorders: a case report and pathogenetic implications. Am J Case Rep. 2025;26:e948707. doi:10.12659\/AJCR.948707"},{"issue":"2","key":"bib10","series-title":"Pediatr Blood Cancer","first-page":"233","article-title":"Intraspinal and intracranial hemorrhage after lumbar puncture","volume":"48","author":"Lee","year":"2007","unstructured":"LeeACWLauYLiCHWongYCChiangAKS.Intraspinal and intracranial hemorrhage after lumbar puncture. Pediatr Blood Cancer. 2007;48(2):233-237. doi:10.1002\/pbc.20551"},{"issue":"3","key":"bib11","series-title":"Pediatr Neurol","first-page":"223","article-title":"Chronic spinal hematoma as a possible reason for cognitive impairment","volume":"28","author":"Niederhofer","year":"2003","unstructured":"NiederhoferHHuberM.Chronic spinal hematoma as a possible reason for cognitive impairment. Pediatr Neurol. 2003;28(3):223-224. doi:10.1016\/s0887-8994(02)00616-1"},{"issue":"3","key":"bib12","series-title":"Iran J Child Neurol","first-page":"121","article-title":"Spinal subdural hematomas in a normal child without trauma history: a case report","volume":"13","author":"Farzan","year":"2019","unstructured":"FarzanAPourbakhtyaranEMoosavianTMoosavianH.Spinal subdural hematomas in a normal child without trauma history: a case report. Iran J Child Neurol. 2019;13(3):121-124."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/12\/15\/article-CASE26105.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/12\/15\/article-CASE26105.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/12\/15\/article-CASE26105.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:42Z","timestamp":1791936042000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/12\/15\/article-CASE26105.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,12]]},"references-count":12,"journal-issue":{"issue":"15"},"URL":"https:\/\/doi.org\/10.3171\/case26105","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,12]]}}}