Subarachnoid hemorrhage from spinal tumor (in the absence of spinal symptoms or signs)

Hawkins, C. P.; Heron, JR

doi:10.1136/jnnp.51.2.305-a

Cited by 19 publications

(12 citation statements)

References 9 publications

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“…Spontaneous SAH of spinal origin is rare, mostly related to spinal arteriovenous malfomations [2,10] and only infrequently to spinal tumors [1][2][3][4][5]. The bleeding tumors arise locally and are of neuroaxial or nerve sheath origin.…”

Section: Discussionmentioning

confidence: 99%

“…Among these tumors ependymoma is the most common source of bleeding [1]. An acute onset of either back or radicular pain followed by signs of spinal cord or nerve roots dysfunction characterize spinal bleeding but sometimes symptoms and signs may not be distinguished from intracranial SAH [3,4].…”

Section: Discussionmentioning

confidence: 99%

“…Headaches, neck stiffness and the straight leg raising sign could be related to the presence of spinal tumor or to SAH. After bleeding from a spinal tumor or a spinal arteriovenous malformation cranial symptoms and signs may develop [3,4,11,12], more often with a rostral localization of the bleeding [11,12]. Two of our patients (case 1 and 3) presented with headaches, and patient 3 with vomiting and multiple cranial nerves signs following bleeding from cervical metastatic nodules.…”

Section: Discussionmentioning

confidence: 99%

“…Occasionally the bleeding is related to neurofibromas, meningiomas, astrocytomas or other locally arising neoplasms [1][2][3][4][5]. Metastatic intradural extramedullary tumors associated with SAH have been previously described in only 2 case reports [6,7].…”

Section: Introduction Case Reportsmentioning

confidence: 99%

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Spinal subarachnoid hermorrhage associated with leptomeningeal metastases

Lossos

Siegal

1992

J Neuro-Oncol

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Retrospective evaluation of 120 patients treated for leptomeningeal metastases at the Hadassah Hebrew University Hospital disclosed 3 patients with spontaneous spinal subarachnoid hemorrhage (SAH) occurring in the absence of bleeding tendency. These patients are described in detail. A search of the English literature revealed only 2 additional cases. The primary neoplasm originated in the central nervous system in 4 of these 5 patients; a resection of an intraparenchymal posterior fossa tumor antedated the development of subarachnoid seeding in 3 of the 5 patients; SAH occurred in face of a negative CSF cytology and in the presence of macroscopic subarachnoid deposits that were diagnosed with the aid of neuroimaging techniques. It is suggested that spontaneous spinal SAH in a patient with a history of primary or secondary brain tumor and with no bleeding tendency indicates probable presence of macroscopic leptomeningeal deposits.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introduction Case Reportsmentioning

confidence: 99%

See 2 more Smart Citations

Spinal subarachnoid hermorrhage associated with leptomeningeal metastases

Lossos

Siegal

1992

J Neuro-Oncol

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“…3) 1) Department of Neurology, Ishikawa Prefectural Central Hospital 2) Department of Neurology, National Iou Hospital 3) Department of Neurosurgery, Ishikawa Prefectural Central Hospital…”

Section: Introductionmentioning

confidence: 99%