A case report of cirrhosis complicated with spontaneous spinal cord hemorrhage and literature review
10.3760/cma.j.cn113694-20221118-00854
- VernacularTitle:肝硬化合并自发性脊髓出血1例
- Author:
Liang XIANG
1
;
Zhihong ZHAO
;
Zhiqun MAO
Author Information
1. 湖南师范大学附属第一医院/湖南省人民医院神经内科，长沙 410005
- Keywords:
Spinal cord;
Hemorrhage;
Liver cirrhosis;
Splenomegaly;
Thrombocytopenia
- From:
Chinese Journal of Neurology
2023;56(7):796-799
- CountryChina
- Language:Chinese
-
Abstract:
A case of cirrhosis with spontaneous spinal cord hemorrhage is reported. The patient was a 57-year-old male, whose main clinical symptoms were acute onset, sudden progressive decline of lower limb muscle strength, and incontinence. Magnetic resonance imaging+magnetic resonance angiography+susceptibility-weighted imaging of thoracic spinal cord showed that thin strip like equal and slightly high signal could be seen in the spinal cord of T 1WI sequence, a few low signal foci could be seen in the corresponding part of T 2WI sequence, and there was no obvious change in enhanced scanning. Obvious long strip like low signal foci were shown in the spinal cord of susceptibility-weighted imaging, and the range was significantly larger than that of T 2WI sequence. Spinal cord hemorrhage was diagnosed before operation, and no obvious improvement was found after drug treatment. Spontaneous spinal cord hemorrhage was diagnosed after surgical incision.
