Acute Paraplegia due to Thoracic Hematomyelia

Abstract

Spontaneous intraspinal intramedullary hemorrhage is a rare entity with the acute onset of neurologic symptoms. The etiology of idiopathic spontaneous hematomyelia (ISH) is unknown, and there are few published case reports. Hematomyelia is mostly associated with trauma, but the other nontraumatic etiologies are vascular malformations, tumors, bleeding disorders, syphilis, syrinx, and myelitis. MRI is a good choice for early diagnosis. Hematomyelia usually causes acute spinal cord syndrome due to the compression and destruction of the spinal cord. A high-dose steroid treatment and surgical decompression and evacuation of hematoma are the urgent solution methods. We present idiopathic spontaneous hematomyelia of a previously healthy 80-year-old male with a sudden onset of back pain and paraplegia.

Spontaneous Cervical Intramedullary Hematoma

“…In the long run our patient has shown good recovery although no recovery after evacuation of hematoma has been reported as well [6]. Most important prognostic factor is preoperative neurological status of the patient.…”

“…Spontaneous intramedullary hematoma is rare condition and there have been case reports only in the literature [1][2][3][4][5][6]. The most common etiology for this entity is spinal trauma, others being vascular malformation, cavernoma, tumor, syrinx, bleeding disorders and use of anticoagulants.…”

“…Spinal trauma is the most common cause of intramedullary hematoma. Early surgery is to be performed for pain relief and restoration of neurological functions [1][2][3][4][5][6][7][8][9]. Recently we came across a case of spontaneous cervical intramedullary hematoma with atypical pattern of presentation, hence being reported.…”

Spontaneous spinal intramedullary hematoma in an infant: A rare entity and a diagnostic challenge

“…Spontaneous intramedullary hematoma is a rare condition, and there have been only a few case reports seen in adults in the literature. [ 5 6 7 8 9 10 ] To the best of our knowledge, this is the first case reported in an infant. The most common etiology for this entity is spinal trauma, with others being vascular malformation, cavernoma, tumor, syrinx, bleeding disorders, and use of anticoagulants.…”

“…Our patient was on follow-up and showed good recovery, although no recovery after the evacuation of hematoma has been reported in other studies. [ 10 ]…”