ABSTRACT
Spontaneous hematomyelia (intramedullary spinal hematoma) is an uncommon event of an unknown cause. A 35-year-old man experienced sudden paresthesia over the chest, radiating pain, and motor weakness followed by complete paraplegia appeared after 1 hour. The preoperative diagnosis was made by magnetic resonance imaging which revealed hemorrhages from T4 to T9 cord segments. The selective spinal angiography, CSF study, blood laboratory, and pathology revealed no apparent cause for the hemorrhages.
Subject(s)
Adult , Humans , Angiography , Diagnosis , Hemorrhage , Magnetic Resonance Imaging , Paraplegia , Paresthesia , Pathology , Spinal Cord Vascular Diseases , ThoraxABSTRACT
The spontaneous hematomyelia is an uncommon event and its predisposing conditions are vascular malformation, syringomyelia, pregnancy and delivery, angioma, hemophilia, anticoagulant therapy, etc. We have recently experienced the patient with spontaneous onset and resolving hematomyelia in the cervical spinal cord. A 30-year-old male patient with non-traumatic spinal shock was evaluated. On MRI, a hematomyelia along cervical spi-nal cord was revealed. A suspicious AV malformation was noticed at C3-4 level. Fol-low-up MRIs showed spontaneous resolution of the hematoma.
Subject(s)
Adult , Humans , Male , Pregnancy , Hemangioma , Hematoma , Hemophilia A , Magnetic Resonance Imaging , Shock , Spinal Cord , Spinal Cord Vascular Diseases , Syringomyelia , Vascular MalformationsABSTRACT
Spontaneous hematomyelia is an acute expanding lesion by the hemorrhage within the substance of the located primarily in the gray matter. It is necessary to have urgent operation to preserve the remainding cord function. We are reporting a rare case of spontaneous hematomyelia extending from T-8 to T-10 of unknown cause of which transverse symptoms have largely subsided after surgical evacuation of the liquefied hematoma.