Rezidivierende Subarachnoidalblutung bei spinalem Neurinom

Abstract

An unusual case of recurrent subarachnoid haemorrhage caused by a benign neurinoma in the region of the cauda equina is reported, in which the tumour was supplied by an accessory dilated artery. After recurrent complaints in the lumbar region an acute cerebral symptomatology first led to the diagnosis of a subarachnoid haemorrhage of unknown aetiology. It was only the recurrence of the bleeding which enabled the tumour to be detected. Other cases from the literature of subarachnoid haemorrhage due to spinal tumours are considered and the mechanism of bleeding and diagnostic problems are discussed.

Traumatic intratumoral hemorrhage as the presenting symptom of a spinal neurinoma

“…A review of the literature yielded several cases of spinal cord tumors, mostly ependymomas, located in the conus/cauda region that presented with tumoral hemorrhage or SAH. 1,9,10,13,15,24,26,32 Intracranial neurinomas have also been reported to bleed spontaneously, 2 causing either SAH or intratumoral hemorrhage. However, we found only three reports of a spinal neurinoma presenting with intratumoral or subdural hematomas, [29][30][31] as was the presentation in our case.…”