Spontaneous Cervical Intramedullary Hematoma

Kumar, Sushil; Amit, H; Tiwari, Ravi

doi:10.21767/2171-6625.1000210

Cited by 8 publications

(14 citation statements)

References 8 publications

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“…There is no clear etiology for idiopathic spontaneous intramedullary hemorrhage and it is usually diagnosed following surgery when no potential pathology is found in macroscopic and microscopic examination [4]. Only a few cases have been reported in the literature [4][5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…Almost all of the lesions were located in the thoracic spinal cord, with the exception of one case involving the cervical spinal cord and one case involving the lumbar spinal cord. Idiopathic spontaneous intramedullary hemorrhage is usually characterized by acute onset and rapid deterioration of the neurological state of the patient, characterized by the Brown-Sequard syndrome [4][5][6][7][8][9]. A few patients showed chronic progression [10].…”

Section: Discussionmentioning

confidence: 99%

“…A few patients showed chronic progression [10]. MRI examination of the spinal cord was performed for all patients [4][5][6][7][8][9][10] and was the rst choice for intramedullary hemorrhage [11]. The MRI ndings for intramedullary hematoma change over time.…”

Section: Discussionmentioning

confidence: 99%

“…All patients who undergo surgical treatment choose posterior laminectomy and intramedullary hematoma removal [4][5][6][7][8]10]. Therefore, it is very important to accurately locate the focus and reduce iatrogenic injury of the spinal cord.…”

Section: Discussionmentioning

confidence: 99%

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Intraoperative Ultrasound-assisted Treatment of Idiopathic Spontaneous Intramedullary Hemorrhage: A Case Report and Literature Review

Liu

Zhu

et al. 2020

Preprint

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Background: Idiopathic spontaneous intramedullary hemorrhage is a rare clinical disease. No cases of intraoperative ultrasound-assisted treatment of the disease have been reported in the literature. To present a case of idiopathic spontaneous intramedullary hemorrhage treated with intraoperative ultrasound and review the diagnosis and treatment of the disease.Case presentation: An 11-year-old child was admitted to our department because of a sudden severe pain on the left side of her back. Magnetic resonance images of the thoracic vertebrae showed abnormal signals in T2-T3 and spontaneous intramedullary hemorrhage was suspected. Intraoperative ultrasound-assisted evacuation of the intramedullary hematoma was performed and no abnormal blood vessels or malformations were found during intraoperative exploration.Conclusion: We report a rare case of idiopathic spontaneous intramedullary hemorrhage with intraoperative ultrasound-assisted hematoma clearance and a good prognosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Intraoperative Ultrasound-assisted Treatment of Idiopathic Spontaneous Intramedullary Hemorrhage: A Case Report and Literature Review

Liu

Zhu

et al. 2020

Preprint

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“…There are also reports indicating that anticoagulation therapy and hemophilia cause spontaneous intramedullary hemorrhage 1 3 13) . It is extremely rare for this to occur without an apparent underlying etiology, and only a few such cases have been reported 4 6 8 9 10) .…”

Section: Introductionmentioning

confidence: 99%

Idiopathic Spontaneous Intramedullary Hemorrhage: A Report of a Rare Case of Repeated Intramedullary Hemorrhage with Unknown Etiology

Choi

Lee

2015

Korean J Spine

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A 48-year-old woman presented with acute voiding difficulty, numbness and weakness of both lower extremities. Magnetic resonance imaging (MRI) showed an intramedullary hemorrhagic mass that extended from T9 to T10. T8-T10 laminotomy and surgical removal of the hemorrhagic mass was performed. The pathological diagnosis was hematoma. Her neurological status remained the same after the operation. At 5 days post-operation, the patient suddenly became paraplegic, and MRI that was immediately performed revealed a recurrent intramedullary hemorrhage. Emergent surgical evacuation was performed. Again, histological examination showed only hematoma, without any evidence of abnormal vessels or a tumor. A postoperative MRI revealed no abnormal lesions other than those resulting from postoperative changes. At a 9-month follow up, the patient could walk a short distance with the aid of a walker. Because spontaneous intramedullary hemorrhage with unknown etiology is very rare, it is essential to perform a meticulous inspection of the hemorrhagic site to find the underlying cause. Repeated hemorrhage can occur; therefore, close observation of patients after surgery is important in cases without an apparent etiology. Urgent surgical evacuation is important to improve outcomes in these cases.

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Spontaneous intramedullary hematoma in a patient with COVID‐19 infection: A case report

Saboori

Rezvani

Aminmansour

et al. 2022

Clinical Case Reports

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Spontaneous Cervical Intramedullary Hematoma

Abstract: A young male presented with acute onset with progressive weakness of all limbs, right more than left. MRI revealed intramedullary hematoma mainly at C2 level. Surgical evacuation of hematoma was done and patient improved following surgery and physiotherapy.

Cited by 8 publications

References 8 publications

Intraoperative Ultrasound-assisted Treatment of Idiopathic Spontaneous Intramedullary Hemorrhage: A Case Report and Literature Review

Intraoperative Ultrasound-assisted Treatment of Idiopathic Spontaneous Intramedullary Hemorrhage: A Case Report and Literature Review

Idiopathic Spontaneous Intramedullary Hemorrhage: A Report of a Rare Case of Repeated Intramedullary Hemorrhage with Unknown Etiology

Spontaneous intramedullary hematoma in a patient with COVID‐19 infection: A case report

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