Cervical schwannoma presenting as a spinal subdural haematoma: Short Report

Abstract

We report a case of cervical spinal subdural haematoma as the presenting manifestation of a small intradural schwannoma. In patients without a bleeding diathesis and an apparently spontaneous spinal subdural haematoma, the possibility of an underlying tumour should always be considered.

Traumatic intratumoral hemorrhage as the presenting symptom of a spinal neurinoma

“…1,9,10,13,15,24,26,32 Intracranial neurinomas have also been reported to bleed spontaneously, 2 causing either SAH or intratumoral hemorrhage. However, we found only three reports of a spinal neurinoma presenting with intratumoral or subdural hematomas, [29][30][31] as was the presentation in our case. In two reports the authors described spontaneous bleeding from cervical cord schwannoma, and in one report intratumoral bleeding after physical exertion was described.…”

A rare, high cervical traumatic spinal subdural hematoma

“…These included CPA medullary venous malformation, Paget's disease, occipital falcine meningioma, pontine glioma, fourth ventricle ganglioglioma, pontine infarction, syringobulbia, multiple sclerosis, trauma, hypothyroidism, idiopathic intracranial hypertension, vertebrobasilar ectasia, craniovertebral anomalies, parotid gland tumor, vertebral artery aneurysm, arteriovenous malformations, venous compression, epidermoid, lipoma, neurinoma, arachnoid cyst, fourth ventricle gangliolioma, focal motor seizures, arterial hypertension. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Enterogenous cysts (ECs) are rare congenital lesions mostly found in the spinal canal at the lower cervical and upper thoracic levels and have been reported only rarely in the CPA cistern. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Enterogenous cysts (ECs) are rare congenital lesions mostly found in the spinal canal at the lower cervical and upper thoracic levels and have been reported only rarely in the CPA cistern.…”

“…[1][2][3][4][5][6][7][8][9][10] Traumatic SSDH are very uncommon, and in a recent literature review, only eight instances were found. It occurs most commonly in lumbar puncture, spinal anesthesia, therapeutic anticoagulation and coagulation disorders, and spinal tumors or vascular malformations.…”

Hemorrhagic thoracic schwannoma presenting with intradural hematoma and acute paraplegia after spinal manipulation therapy

“…[4][5][6][7] Similarly few reports have described hemorrhagic conversion of spinal schwannomas presenting with spinal hematomas and related symptoms. [8][9][10][11][12][13][14][15][16] These reports have described hemorrhage from spinal schwanno- Table 1 and Figure 2 show a distribution in the spine of spinal schwannomas presenting with intradural subdural/ intratumoral hemorrhage, with most frequent presentation in the thoracic spine. Several reports have postulated changes in vascular supply as contributing factors to hemorrhage development in the setting of spinal schwannomas.…”