Spontaneous intramedullary hematoma initially mimicking myocardial infarction

Lee, Dong Hoon; Choi, Yoon Hee

doi:10.1016/j.ajem.2014.03.002

Cited by 11 publications

(13 citation statements)

References 4 publications

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“…There is no clear etiology for idiopathic spontaneous intramedullary hemorrhage and it is usually diagnosed following surgery when no potential pathology is found in macroscopic and microscopic examination [4]. Only a few cases have been reported in the literature [4][5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…Almost all of the lesions were located in the thoracic spinal cord, with the exception of one case involving the cervical spinal cord and one case involving the lumbar spinal cord. Idiopathic spontaneous intramedullary hemorrhage is usually characterized by acute onset and rapid deterioration of the neurological state of the patient, characterized by the Brown-Sequard syndrome [4][5][6][7][8][9]. A few patients showed chronic progression [10].…”

Section: Discussionmentioning

confidence: 99%

“…A few patients showed chronic progression [10]. MRI examination of the spinal cord was performed for all patients [4][5][6][7][8][9][10] and was the rst choice for intramedullary hemorrhage [11]. The MRI ndings for intramedullary hematoma change over time.…”

Section: Discussionmentioning

confidence: 99%

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Intraoperative Ultrasound-assisted Treatment of Idiopathic Spontaneous Intramedullary Hemorrhage: A Case Report and Literature Review

Liu

Zhu

et al. 2020

Preprint

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Background: Idiopathic spontaneous intramedullary hemorrhage is a rare clinical disease. No cases of intraoperative ultrasound-assisted treatment of the disease have been reported in the literature. To present a case of idiopathic spontaneous intramedullary hemorrhage treated with intraoperative ultrasound and review the diagnosis and treatment of the disease.Case presentation: An 11-year-old child was admitted to our department because of a sudden severe pain on the left side of her back. Magnetic resonance images of the thoracic vertebrae showed abnormal signals in T2-T3 and spontaneous intramedullary hemorrhage was suspected. Intraoperative ultrasound-assisted evacuation of the intramedullary hematoma was performed and no abnormal blood vessels or malformations were found during intraoperative exploration.Conclusion: We report a rare case of idiopathic spontaneous intramedullary hemorrhage with intraoperative ultrasound-assisted hematoma clearance and a good prognosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Intraoperative Ultrasound-assisted Treatment of Idiopathic Spontaneous Intramedullary Hemorrhage: A Case Report and Literature Review

Liu

Zhu

et al. 2020

Preprint

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“…Spontaneous intramedullary hematoma is rare condition and there have been case reports only in the literature [1][2][3][4][5][6]. The most common etiology for this entity is spinal trauma, others being vascular malformation, cavernoma, tumor, syrinx, bleeding disorders and use of anticoagulants.…”

Section: Discussionmentioning

confidence: 99%

“…Spinal trauma is the most common cause of intramedullary hematoma. Early surgery is to be performed for pain relief and restoration of neurological functions [1][2][3][4][5][6][7][8][9]. Recently we came across a case of spontaneous cervical intramedullary hematoma with atypical pattern of presentation, hence being reported.…”

Section: Introductionmentioning

confidence: 99%