Spontaneous spinal subarachnoid hemorrhage and subdural hematoma

1984 ◽  
Vol 61 (5) ◽  
pp. 975-980 ◽  
Author(s):  
Karl W. Swann ◽  
Allan H. Ropper ◽  
Paul F. J. New ◽  
Charles E. Poletti
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Subdural Hematoma ◽  
Cauda Equina ◽  
Conus Medullaris ◽  
Spinal Angiography ◽  
Content Type ◽  
Radiological Features ◽  
Spinal Subarachnoid Hemorrhage ◽  
Severe Back Pain ◽  
Fine Print

✓ Two patients with spontaneous spinal subarachnoid hemorrhage are presented to emphasize the clinical and radiological features of this uncommon illness. Both had severe back pain at the onset. One patient had a subdural hematoma that compressed the conus medullaris and cauda equina, and was drained percutaneously; the other had clots in the subarachnoid space. The cerebrospinal fluid showed a polymorphonuclear pleocytosis that simulated septic meningitis. Complete spinal angiography failed to reveal a cause for the hemorrhages.

Spinal subarachnoid hemorrhage during myelography

1978 ◽  
Vol 48 (4) ◽  
pp. 645-648 ◽  
Author(s):  
John F. Rice ◽  
Christopher B. Shields ◽  
Charles F. Morris ◽  
Byron D. Neely
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Lumbar Disc ◽  
Fluid Pressure ◽  
Cauda Equina ◽  
Conus Medullaris ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Content Type ◽  
Spinal Subarachnoid Hemorrhage ◽  
Fine Print

✓ Neoplasms of the conus medullaris and cauda equina have been shown to cause subarachnoid hemorrhage (SAH). In such instances, the hemorrhage has been the presenting symptom. A patient with a neurofibroma at T12—L1 experienced spinal SAH during myelography for suspected lumbar disc disease. The roentgenograms showing the lesion itself first and the subarachnoid clot subsequently may be unique. The cause of hemorrhage in this patient may have been the shearing of bridging capsular veins because of diminished cerebrospinal fluid pressure below the almost obstructing lesion.

Cavernous angioma of the cauda equina producing subarachnoid hemorrhage

1987 ◽  
Vol 66 (1) ◽  
pp. 134-136 ◽  
Author(s):  
Shinsuke Ueda ◽  
Akihito Saito ◽  
Shigeo Inomori ◽  
Ilu Kim
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Cauda Equina ◽  
Cavernous Angioma ◽  
Low Back ◽  
Spinal Angiography ◽  
Resonance Imaging ◽  
Total Removal ◽  
Content Type ◽  
Similar Episode ◽  
Fine Print

✓ A case of a cavernous angioma of the cauda equina is presented. The patient was a 28-year-old man who experienced sudden low-back pain and headache without neurological symptoms. Lumbar puncture revealed subarachnoid hemorrhage. He had suffered a similar episode 3 years previously. Selective spinal angiography did not demonstrate any abnormal vascularity. Metrizamide myelography and magnetic resonance imaging were useful in demonstrating the presence of a tumor. Laminectomy at L1–3 and total removal of the tumor were performed without neurological deficit.

Rapid arteriovenous shunting in a spinal cord ependymoma

1976 ◽  
Vol 44 (6) ◽  
pp. 744-747 ◽  
Author(s):  
Eric T. Yuhl ◽  
John R. Bentson
Keyword(s):  
Spinal Cord ◽  
Arteriovenous Malformations ◽  
Cauda Equina ◽  
Conus Medullaris ◽  
Spinal Angiography ◽  
Arteriovenous Shunting ◽  
Content Type ◽  
Spinal Cord Ependymoma ◽  
Fine Print

✓ A case of ependymoma of the conus medullaris and cauda equina is described in which spinal angiography demonstrated rapid arteriovenous shunting, an angiographic sign which is typical of arteriovenous malformations and which has not been previously reported to occur with ependymomas.

Dermoid tumors of the spinal cord

1970 ◽  
Vol 33 (6) ◽  
pp. 676-681 ◽  
Author(s):  
Ian C. Bailey
Keyword(s):  
Spinal Cord ◽  
Low Back Pain ◽  
Back Pain ◽  
Cauda Equina ◽  
Complete Removal ◽  
Cord Compression ◽  
Conus Medullaris ◽  
Low Back ◽  
Content Type ◽  
Fine Print

✓ This is an analysis of 10 cases of dermoid tumor occurring in the spinal canal (8 lumbar and 2 thoracic). Low-back pain was the commonest presenting symptom, especially if the tumor was adherent to the conus medullaris. Other complaints included urinary dysfunction and motor and sensory disturbances of the legs. Clinical and radiological evidence of spina bifida was found in about half of the cases and suggested the diagnosis of a developmental type of tumor when patients presented with progressive spinal cord compression. At operation, the tumors were often found embedded in the conus medullaris or firmly adherent to the cauda equina, thus precluding complete removal. Evacuation of the cystic contents, however, gave lasting relief of the low-back pain and did not cause any deterioration in neurological function. In a follow-up study, ranging from 1 to 15 years, virtually no improvement in the neurological signs was observed. On the other hand, only one case has deteriorated due to recurrence of tumor growth.

Chronic subdural hematoma presenting as spontaneous subarachnoid hemorrhage

1985 ◽  
Vol 63 (5) ◽  
pp. 691-692 ◽  
Author(s):  
Zbigniew Kotwica ◽  
Jerzy Brzeziński
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Clinical Findings ◽  
Content Type ◽  
Acute Subarachnoid Hemorrhage ◽  
Spontaneous Subarachnoid Hemorrhage ◽  
Fine Print

✓ Six cases of chronic subdural hematoma presenting with the clinical findings of acute subarachnoid hemorrhage are reported. No systemic or focal cause for the bleeding was found, and possible mechanisms are discussed.

Occurrence of severe vasospasm following intraventricular hemorrhage from an arteriovenous malformation

1997 ◽  
Vol 87 (3) ◽  
pp. 436-439 ◽  
Author(s):  
Keiichiro Maeda ◽  
Hiroki Kurita ◽  
Tsuneo Nakamura ◽  
Masaaki Usui ◽  
Kazuo Tsutsumi ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Intraventricular Hemorrhage ◽  
Arteriovenous Malformations ◽  
Carotid Arteries ◽  
Internal Carotid ◽  
The Other ◽  
Content Type ◽  
Radiological Features ◽  
Internal Carotid Arteries ◽  
Fine Print

✓ The authors present two rare cases of severe cerebral vasospasm following the rupture of arteriovenous malformations (AVMs). Computerized tomography revealed intracerebral hemorrhage in the thalamus in one case and in the putamen in the other, both accompanied by cast formation of intraventricular clots without radiological evidence of subarachnoid hemorrhage. Initial angiograms showed arterial narrowing of the bilateral internal carotid arteries in the supraclinoid portion but failed to demonstrate an arteriovenous shunt. Subsequent angiograms clearly demonstrated the existence of an AVM. Radiological features and possible mechanisms are discussed.

Metastatic melanoma simulating subdural hematoma

1978 ◽  
Vol 49 (2) ◽  
pp. 301-302 ◽  
Author(s):  
F. John Palmer ◽  
Anthony P. Poulgrain
Keyword(s):  
White Matter ◽  
Metastatic Melanoma ◽  
Metastatic Disease ◽  
Subdural Hematoma ◽  
Subcortical White Matter ◽  
Content Type ◽  
Radiological Features ◽  
Fine Print

✓ Metastatic melanoma tends to be found in subcortical white matter and this localization may produce clinical or radiological features that are unusual in metastatic disease. A case is described that closely simulated a subdural hematoma both clinically and radiologically.

Rupture of spinal cord ependymoma

1973 ◽  
Vol 39 (5) ◽  
pp. 662-665 ◽  
Author(s):  
Nettleton S. Payne ◽  
Joseph V. McDonald
Keyword(s):  
Spinal Cord ◽  
Subarachnoid Hemorrhage ◽  
Clinical Course ◽  
Cauda Equina ◽  
Content Type ◽  
Spinal Cord Ependymoma ◽  
Fine Print

✓ The rupture of an ependymoma of the cauda equina associated with trauma and subarachnoid hemorrhage is described. The clinical course of the patient is discussed, and the mechanism and significance of the rupture postulated.

Dorsal root entry zone lesions for intractable pain after trauma to the conus medullaris and cauda equina

1995 ◽  
Vol 82 (1) ◽  
pp. 28-34 ◽  
Author(s):  
John H. Sampson ◽  
Robert E. Cashman ◽  
Blaine S. Nashold ◽  
Allan H. Friedman
Keyword(s):  
Dorsal Root ◽  
Cauda Equina ◽  
Conus Medullaris ◽  
Intractable Pain ◽  
Entry Zone ◽  
Dorsal Root Entry Zone ◽  
Content Type ◽  
Root Entry Zone ◽  
Relieve Pain ◽  
Fine Print

✓ This review was undertaken to determine the efficacy of using dorsal root entry zone (DREZ) lesions to treat intractable pain caused by trauma to the conus medullaris and cauda equina. Traumatic lesions of this area are unique in that both the spinal cord and the peripheral nerve roots are injured. Although DREZ lesions have been shown to relieve pain of spinal cord origin in many patients, they have been shown not to relieve pain of peripheral nerve origin. Therefore, 39 patients with trauma to the conus medullaris and cauda equina who underwent DREZ lesioning for intractable pain were reviewed retrospectively. The results of this review demonstrate the efficacy of DREZ lesions in these patients. At a mean follow-up period of 3.0 years, 54% of patients were pain-free without medications, and 20% required only nonnarcotic analgesic drugs for pain that no longer interfered with their daily activities. Better outcomes were noted in patients with an incomplete neurological deficit, with pain having an “electrical” character, and with injuries due to blunt trauma. Operative complications included weakness (four patients), bladder or sexual dysfunction (three), cerebrospinal fluid leak (two), and wound infection (two), but overall, 79.5% of patients (31 of 39) were without serious complications. Complications were limited to patients with prior tissue damage at the surgical exploration site and were most prevalent in patients who underwent bilateral DREZ lesions. In conclusion, this preliminary report suggests that DREZ lesions may be useful in combating intractable pain from traumatic injuries to the conus medullaris and cauda equina, with some risk to neurological function that may be acceptable in this group of patients.

Conus medulla—cauda compression from nerve root hypertrophy in a child with Dejerine—Sottas syndrome: improvement with laminectomy and duraplasty

2002 ◽  
Vol 97 (2) ◽  
pp. 244-247 ◽  
Author(s):  
Kleopas A. Kleopa ◽  
Leslie N. Sutton ◽  
Joseph Ong ◽  
Gihan Tennekoon ◽  
Albert E. Telfeian
Keyword(s):  
Magnetic Resonance Imaging ◽  
Nerve Root ◽  
Cauda Equina ◽  
Conus Medullaris ◽  
Myelin Protein Zero ◽  
Resonance Imaging ◽  
Content Type ◽  
Leg Weakness ◽  
Protein Zero ◽  
Fine Print

✓ This 7-year-old boy with Dejerine—Sottas syndrome caused by a mutation in the myelin protein zero gene began to suffer rapid deterioration with increasing leg weakness, loss of the ability to ambulate, and bowel and bladder incontinence. Magnetic resonance imaging of the spine revealed nerve root hypertrophy resulting in compression of the conus medullaris and cauda equina. Decompressive surgery was successful in reversing some of his deficits.

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