Tags

Type your tag names separated by a space and hit enter

Spontaneous thoracic spinal subarachnoid hemorrhage diagnosed with brain computed tomography.
Tohoku J Exp Med. 2013 10; 231(2):139-44.TJ

Abstract

Spontaneous thoracic spinal subarachnoid hemorrhage is rare, and thus no useful radiological findings for preoperative diagnosis have been reported. We experienced a patient with spontaneous thoracic spinal subarachnoid hemorrhage. A 37-year-old female presented with sudden-onset paraplegia and numbness in the trunk and bilateral lower extremities. The patient had no past history of trauma, lumbar puncture and bleeding disorder. T2-weighted sagittal magnetic resonance imaging (MRI) of the cervical and thoracic spines showed a mass occupied in the ventral space of spinal cord that was dorsally shifted. The mass extended from C6 to Th6 levels, with its largest size at Th2 level. Thoracic spine T2-weighted sagittal and axial MRI showed that the mass compressed spinal cord and was located in the intradural space. There was no spinal cord tumor and no spinal vascular malformation around the mass. Brain computed tomography (CT) showed a high-density area in the subarachnoid space, indicating the possibility of subarachnoid hemorrhage. Brain MRI showed no ruptured aneurysm. The patient was diagnosed as a spontaneous thoracic spinal subarachnoid hemorrhage and emergency surgery was selected. We performed right-side hemilaminectomy at Th1-Th6 and opened dura mater and arachnoid membrane. Hematoma was found in the ventral space of spinal cord and was removed. One year after surgery, numbness in the trunk and bilateral lower extremities had disappeared but paraplegia remained unchanged. Thoracic spine T2-weighted MRI confirmed no hematoma but showed a newly formed intradural cyst. Preoperative combination of brain CT and thoracic MRI is useful to diagnose thoracic spinal subarachnoid hemorrhage.

Authors+Show Affiliations

Department of Orthopedic Surgery, Iwate Prefectural Central Hospital.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24131866

Citation

Sasaji, Tatsuro, et al. "Spontaneous Thoracic Spinal Subarachnoid Hemorrhage Diagnosed With Brain Computed Tomography." The Tohoku Journal of Experimental Medicine, vol. 231, no. 2, 2013, pp. 139-44.
Sasaji T, Shinagawa K, Matsuya S. Spontaneous thoracic spinal subarachnoid hemorrhage diagnosed with brain computed tomography. Tohoku J Exp Med. 2013;231(2):139-44.
Sasaji, T., Shinagawa, K., & Matsuya, S. (2013). Spontaneous thoracic spinal subarachnoid hemorrhage diagnosed with brain computed tomography. The Tohoku Journal of Experimental Medicine, 231(2), 139-44.
Sasaji T, Shinagawa K, Matsuya S. Spontaneous Thoracic Spinal Subarachnoid Hemorrhage Diagnosed With Brain Computed Tomography. Tohoku J Exp Med. 2013;231(2):139-44. PubMed PMID: 24131866.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous thoracic spinal subarachnoid hemorrhage diagnosed with brain computed tomography. AU - Sasaji,Tatsuro, AU - Shinagawa,Kiyotsugu, AU - Matsuya,Shigetsune, PY - 2013/10/18/entrez PY - 2013/10/18/pubmed PY - 2014/5/3/medline SP - 139 EP - 44 JF - The Tohoku journal of experimental medicine JO - Tohoku J Exp Med VL - 231 IS - 2 N2 - Spontaneous thoracic spinal subarachnoid hemorrhage is rare, and thus no useful radiological findings for preoperative diagnosis have been reported. We experienced a patient with spontaneous thoracic spinal subarachnoid hemorrhage. A 37-year-old female presented with sudden-onset paraplegia and numbness in the trunk and bilateral lower extremities. The patient had no past history of trauma, lumbar puncture and bleeding disorder. T2-weighted sagittal magnetic resonance imaging (MRI) of the cervical and thoracic spines showed a mass occupied in the ventral space of spinal cord that was dorsally shifted. The mass extended from C6 to Th6 levels, with its largest size at Th2 level. Thoracic spine T2-weighted sagittal and axial MRI showed that the mass compressed spinal cord and was located in the intradural space. There was no spinal cord tumor and no spinal vascular malformation around the mass. Brain computed tomography (CT) showed a high-density area in the subarachnoid space, indicating the possibility of subarachnoid hemorrhage. Brain MRI showed no ruptured aneurysm. The patient was diagnosed as a spontaneous thoracic spinal subarachnoid hemorrhage and emergency surgery was selected. We performed right-side hemilaminectomy at Th1-Th6 and opened dura mater and arachnoid membrane. Hematoma was found in the ventral space of spinal cord and was removed. One year after surgery, numbness in the trunk and bilateral lower extremities had disappeared but paraplegia remained unchanged. Thoracic spine T2-weighted MRI confirmed no hematoma but showed a newly formed intradural cyst. Preoperative combination of brain CT and thoracic MRI is useful to diagnose thoracic spinal subarachnoid hemorrhage. SN - 1349-3329 UR - https://www.unboundmedicine.com/medline/citation/24131866/Spontaneous_thoracic_spinal_subarachnoid_hemorrhage_diagnosed_with_brain_computed_tomography_ L2 - https://japanlinkcenter.org/DN/JST.JSTAGE/tjem/231.139?lang=en&from=PubMed DB - PRIME DP - Unbound Medicine ER -