COVID-19-Related Spinal Subdural Hematoma Presented with Acute Compressive Myelopathy with a Review of the Literature

Introduction:Neurological complication due to coronavirus disease 2019 (COVID-19) is ac-cumulating and compressive myelopathy due to spinal subdural hematoma (SSDH) is rarelyreported in association with COVID-19.Case Presentation:A 55-year-old male was presentedwith sudden onset of areflexic paraparesis, urinary retention, loss of all sensations below twelvespinal thoracic segments, and severe back pain. This condition necessitated an immediate orderof a spinal cord MRI followed by an urgent surgery, which was crucial to save the spinal cord.COVID-19 was confirmed by a positive reverse-transcription-polymerase chain reaction andspinal MRI showed SSDH.Conclusion:For a patient who presents with acute onset of severeback pain and myelopathy without a history of trauma, SSDH should be suspected. Additionally,coagulopathy associated with COVID-19 infection should increase the suspicion of SSDH whichneeds immediate surgical treatment to save the spinal cord.(c) 2024 The Author(s).Published by S. Karger AG, Basel