Spontaneous spinal subarachnoid hemorrhage: a case report and literature review
10.3760/cma.j.issn.0254-9026.2018.11.012
- VernacularTitle:自发性脊髓蛛网膜下腔出血一例并文献复习
- Author:
Wei LI
1
;
Shiguang WEN
;
Fusui JI
;
Min CHEN
;
Jingying YU
;
Yan GAO
;
Yinhong LIU
Author Information
1. 100730,北京医院老年医学部神经内科国家老年医学中心
- Keywords:
Subarachnoid hemorrhage spontaneous;
Back pain;
Diagnosis
- From:
Chinese Journal of Geriatrics
2018;37(11):1234-1237
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical,laboratory and MRI imaging features of a spontaneous spinal subarachnoid hemorrhage(S-SAH)so as to improve the recognition of spontaneous (S-SAH).Methods The data of clinical,laboratory,MRI imaging features,treatment and prognosis of the spontaneous(S-SAH)were collected and statistically analyzed.Relevant literatures were then reviewed.Results The patient was a 75-year-old woman with neuromyelitisoptica spectrum disorders.During the course of hospitalization for intravenous infusion of high-dose methylprednisolone,the patient suffered from a sudden and severe migrating back pain that gradually progressed from the back to the neck and head,and signs of meningeal irritation occurred.After the exclusion of aortic dissection,acute coronary syndrome,pulmonary embolism,and fractures,further MRI scans of the head and spinal cord were performed.The MRI confirmed subarachnoid hemorrhage located in spinal cord and posterior cranial foss,and the diagnosis was spontaneous S-SAH.Conclusions Migrating back pain combined with signs of meningeal irritation is a characteristic clinical manifestation of S-SAH,and a prompt MRI evaluation of spinal cord is helpful to improve the early diagnosis and treatment.
