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Intramedullary spinal cord hemorrhage (hematomyelia).
Rev Neurol Dis. 2009 Spring; 6(2):E54-61.RN

Abstract

Intramedullary spinal cord hemorrhage (hematomyelia) is an uncommon cause of myelopathy and can present in an acute, subacute, stepwise, or chronic fashion. Spinal vascular malformations such as intramedullary cavernomas and intradural arteriovenous malformations are the most common cause of atraumatic intramedullary spinal cord hemorrhage based on the existing literature. Additional considerations include warfarin or heparin anticoagulation, hereditary or acquired bleeding disorders, primary spinal cord tumors, spinal cord metastases, Gowers' intrasyringal hemorrhage, or a delayed complication of spinal radiation. Prompt diagnosis of hematomyelia first requires recognition of a myelopathy syndrome (transverse, central, anterior, posterior, or hemi-cord) often accompanied by sudden, severe back or neck pain and sometimes radicular pain. MRI with and without gadolinium is the preferred imaging modality. There are no clinical trials to guide the management of acute intramedullary spinal cord hemorrhage, and subsequent treatment is usually directed toward the underlying cause.

Authors+Show Affiliations

Department of Neurology, Mayo Clinic College of Medicine, Rochester, MN, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

19587631

Citation

Leep Hunderfund, Andrea N., and Eelco F M. Wijdicks. "Intramedullary Spinal Cord Hemorrhage (hematomyelia)." Reviews in Neurological Diseases, vol. 6, no. 2, 2009, pp. E54-61.
Leep Hunderfund AN, Wijdicks EF. Intramedullary spinal cord hemorrhage (hematomyelia). Rev Neurol Dis. 2009;6(2):E54-61.
Leep Hunderfund, A. N., & Wijdicks, E. F. (2009). Intramedullary spinal cord hemorrhage (hematomyelia). Reviews in Neurological Diseases, 6(2), E54-61.
Leep Hunderfund AN, Wijdicks EF. Intramedullary Spinal Cord Hemorrhage (hematomyelia). Rev Neurol Dis. 2009;6(2):E54-61. PubMed PMID: 19587631.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intramedullary spinal cord hemorrhage (hematomyelia). AU - Leep Hunderfund,Andrea N, AU - Wijdicks,Eelco F M, PY - 2009/7/10/entrez PY - 2009/7/10/pubmed PY - 2009/10/10/medline SP - E54 EP - 61 JF - Reviews in neurological diseases JO - Rev Neurol Dis VL - 6 IS - 2 N2 - Intramedullary spinal cord hemorrhage (hematomyelia) is an uncommon cause of myelopathy and can present in an acute, subacute, stepwise, or chronic fashion. Spinal vascular malformations such as intramedullary cavernomas and intradural arteriovenous malformations are the most common cause of atraumatic intramedullary spinal cord hemorrhage based on the existing literature. Additional considerations include warfarin or heparin anticoagulation, hereditary or acquired bleeding disorders, primary spinal cord tumors, spinal cord metastases, Gowers' intrasyringal hemorrhage, or a delayed complication of spinal radiation. Prompt diagnosis of hematomyelia first requires recognition of a myelopathy syndrome (transverse, central, anterior, posterior, or hemi-cord) often accompanied by sudden, severe back or neck pain and sometimes radicular pain. MRI with and without gadolinium is the preferred imaging modality. There are no clinical trials to guide the management of acute intramedullary spinal cord hemorrhage, and subsequent treatment is usually directed toward the underlying cause. SN - 1949-4378 UR - https://www.unboundmedicine.com/medline/citation/19587631/Intramedullary_spinal_cord_hemorrhage__hematomyelia__ DB - PRIME DP - Unbound Medicine ER -