Spinal Subdural Hematoma Responsible for a Syndrome of the Tail of a Horse about a Case in the University Hospital Center of Guadeloupe and Review of Literature

Spinal subdural hematomas (SDH), even rarer than epidural hematomas, are serious and responsible for permanent neurological deficit without adequate treatment. In this article, we report on a case of cauda equina syndrome after a lumbar puncture in a young patient. Case presentation: A 19-year-old male patient who underwent two lumbar punctures 4 days apart, as part of a work-up for fever and dizziness, presented with genital-sphincter disorders. Clinical examination revealed cauda equina syndrome. MRI revealed an S1- S2 subdural hematoma. An S1-S2 laminectomy with the evacuation of the hematoma was recommended. The evolution was marked by a complete recovery of genitosphincter disorders and sensitivity. Conclusion: Spinal subdural hematoma can be responsible for neurological deficits, sometimes permanent but rarely highly compressive. Management is medico-surgical.