Spinal subarachnoid haemorrhage in patient with coarctation of aorta.

Watson, Angus

doi:10.1136/bmj.4.5574.278

Cited by 16 publications

(4 citation statements)

References 6 publications

(6 reference statements)

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“…As stated by other authors [16,18,19], we agree that the correct definition of SSH is a blood collection forming a clot in the subarachnoid space, with an intact arachnoid membrane, which may compress and damage the spinal cord and roots of the cauda equina. In the first descriptions [1,[13][14][15] and for many years thereafter [20][21][22][23][24], SSH was called by the more generic term of subarachnoid hemorrhage and only after 1984 was a clear distinction made between subarachnoid hemorrhage and hematoma. The terms subarachnoid hemorrhage and subarachnoid hematoma are not equivalent and should not be used synonymously to avoid misunderstandings.…”

Section: Discussionmentioning

confidence: 99%

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Spinal subarachnoid hematomas: our experience and literature review

Domenicucci

Ramieri

Paolini

et al. 2005

Acta Neurochir (Wien)

109

129

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MRI and CT are not usually diagnostic because they are not able to differentiate between a subarachnoid lesion and a subdural one. However, diagnosis may be possible when these investigations detect the CSF or the contrast medium surrounding the hematoma. Although the risks of producing spinal subarachnoid hematoma as a result of LP are remote, this is, in fact, the primary cause in patients with coagulopathies. The results of treatment depend on the patient's initial neurological condition, the severity of any concomitant pathologies, the position of the hematoma and the eventual association of a subdural hematoma.

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Section: Discussionmentioning

confidence: 99%

“…Reports of SSH correlated to aortic coartation [24,37], degenerative vascular diseases [20,38], septic meningitis [39] and pancreatic carcinoma [10] are very unusual.…”

Section: Etiologymentioning

confidence: 99%

Spinal subarachnoid hematomas: our experience and literature review

Domenicucci

Ramieri

Paolini

et al. 2005

Acta Neurochir (Wien)

109

129

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“…His symptoms might have been due to a transient intraspinal hemorrhage as this is a recognized complication of coarctation 5 . This is further supported by the presence of a high RBC count in CSF analysis.…”

Section: Resultsmentioning

confidence: 99%

Atypical Presentation of Coarctation of Aorta Mimicking a Spinal Vascular Malformation

Yalavarthy

Chandrasekhar²,

Rangasami³

et al. 2011

Neuroradiol J

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Coarctation of the aorta accounts for about 8% of all congenital heart diseases. It usually presents in infancy or later in the third decade depending on its severity. It has a wide spectrum varying from an asymptomatic presentation to cardiac and extracardiac manifestations with neurological complications. Coarctation presenting as a spinal complication is extremely rare. We describe a case of coarctation detected on magnetic resonance imaging (MRI) in a 40-year-old man with an uncommon presentation mimicking a spinal arteriovenous malformation (AVM). To our knowledge, coarctation presenting with a spinal manifestation, resembling an AVM is rare, and has not been reported to date.

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“…The clinical presentation includes sudden back or neck pain and neurological deficits as serious as paraplegia or quadriplegia. Most cases involve spinal arachnoid hemorrhage following rupture of an aneurysm and an abnormally dilated spinal artery or collateral vessel 2 , 8 , 14 , 22) .…”

Section: Discussionmentioning

confidence: 99%

Paraplegia due to Acute Aortic Coarctation and Occlusion

Park

Minki

et al. 2014

J Korean Neurosurg Soc

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Coarctation and occlusion of the aorta is a rare condition that typically presents with hypertension or cardiac failure. However, neuropathy or myelopathy may be the presenting features of the condition when an intraspinal subarachnoid hemorrhage has compressed the spinal cord causing ischemia. We report two cases of middle-aged males who developed acute non-traumatic paraplegia. Undiagnosed congenital abnormalities, such as aortic coarctation and occlusion, should be considered for patients presenting with nontraumatic paraplegia in the absence of other identifiable causes. Our cases suggest that spinal cord ischemia resulting from acute spinal subarachnoid hemorrhage and can cause paraplegia, and that clinicians must carefully examine patients presenting with nontraumatic paraplegia because misdiagnosis can delay initiation of the appropriate treatment.

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Spinal subarachnoid haemorrhage in patient with coarctation of aorta.

Cited by 16 publications

References 6 publications

Spinal subarachnoid hematomas: our experience and literature review

Spinal subarachnoid hematomas: our experience and literature review

Atypical Presentation of Coarctation of Aorta Mimicking a Spinal Vascular Malformation

Paraplegia due to Acute Aortic Coarctation and Occlusion

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