Acute Paraplegia due to Thoracic Hematomyelia
| Autor: | Aykut Akpınar, Bahattin Celik, Ihsan Canbek, Ergun Karavelioğlu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Case Reports in Neurological Medicine, Vol 2016 (2016) |
| Druh dokumentu: | article |
| ISSN: | 2090-6668 2090-6676 |
| DOI: | 10.1155/2016/3138917 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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