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Radiation-induced spinal cord hemorrhage (hematomyelia).
Neurol Int. 2014 Oct 23; 6(4):5553.NI

Abstract

Intraspinal hemorrhage is very rare and intramedullary hemorrhage, also called hematomyelia, is the rarest form of intraspinal hemorrhage, usually related to trauma. Spinal vascular malformations such intradural arteriovenous malformations are the most common cause of atraumatic hematomyelia. Other considerations include warfarin or heparin anticoagulation, bleeding disorders, spinal cord tumors. Radiation-induced hematomyelia of the cord is exceedingly rare with only one case in literature to date. We report the case of an 8 year old girl with Ewing's sarcoma of the thoracic vertebra, under radiation therapy, presenting with hematomyelia. We describe the clinical course, the findings on imaging studies and the available information in the literature. Recognition of the clinical pattern of spinal cord injury should lead clinicians to perform imaging studies to evaluate for compressive etiologies.

Authors+Show Affiliations

Department of Radiology, Penn State University Hershey , PA, USA.Department of Neurology and Radiology, University Drive , Hershey, PA, USA.Department of Radiology, Penn State University Hershey , PA, USA.Department of Radiology, Penn State University Hershey , PA, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

25568739

Citation

Agarwal, Amit, et al. "Radiation-induced Spinal Cord Hemorrhage (hematomyelia)." Neurology International, vol. 6, no. 4, 2014, p. 5553.
Agarwal A, Kanekar S, Thamburaj K, et al. Radiation-induced spinal cord hemorrhage (hematomyelia). Neurol Int. 2014;6(4):5553.
Agarwal, A., Kanekar, S., Thamburaj, K., & Vijay, K. (2014). Radiation-induced spinal cord hemorrhage (hematomyelia). Neurology International, 6(4), 5553. https://doi.org/10.4081/ni.2014.5553
Agarwal A, et al. Radiation-induced Spinal Cord Hemorrhage (hematomyelia). Neurol Int. 2014 Oct 23;6(4):5553. PubMed PMID: 25568739.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Radiation-induced spinal cord hemorrhage (hematomyelia). AU - Agarwal,Amit, AU - Kanekar,Sangam, AU - Thamburaj,Krishnamurthy, AU - Vijay,Kanupriya, Y1 - 2014/12/01/ PY - 2014/07/15/received PY - 2014/09/15/revised PY - 2014/09/26/accepted PY - 2015/1/9/entrez PY - 2015/1/9/pubmed PY - 2015/1/9/medline KW - hematomyelia KW - intramedullary KW - spinal cord. radiation SP - 5553 EP - 5553 JF - Neurology international JO - Neurol Int VL - 6 IS - 4 N2 - Intraspinal hemorrhage is very rare and intramedullary hemorrhage, also called hematomyelia, is the rarest form of intraspinal hemorrhage, usually related to trauma. Spinal vascular malformations such intradural arteriovenous malformations are the most common cause of atraumatic hematomyelia. Other considerations include warfarin or heparin anticoagulation, bleeding disorders, spinal cord tumors. Radiation-induced hematomyelia of the cord is exceedingly rare with only one case in literature to date. We report the case of an 8 year old girl with Ewing's sarcoma of the thoracic vertebra, under radiation therapy, presenting with hematomyelia. We describe the clinical course, the findings on imaging studies and the available information in the literature. Recognition of the clinical pattern of spinal cord injury should lead clinicians to perform imaging studies to evaluate for compressive etiologies. SN - 2035-8385 UR - https://www.unboundmedicine.com/medline/citation/25568739/Radiation_induced_spinal_cord_hemorrhage__hematomyelia__ L2 - https://doi.org/10.4081/ni.2014.5553 DB - PRIME DP - Unbound Medicine ER -
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