Spinal Subarachnoid Hemorrhage Associated with Spinal Ischemic Stroke in the Thoracic Region of the Spinal Cord – A Case Report
Journal Title: International Neuropsychiatric Disease Journal - Year 2016, Vol 7, Issue 1
Abstract
We present a case report of a 69-year old man with spinal ischemic stroke and spinal subarachnoid hemorrhage (sSAH) in the thoracic region. The first complaint was low back pain, which was followed by retention of urine, inferior paraplegia and distal hypesthesia below Th7-8 dermatome. The diagnosis was confirmed by lumbar puncture, which showed xanthochromic cerebrospinal fluid with erythrocyte- and proteinrachia, and contrast MRI of thoracic region, the latter visualizing two lesions. The intraspinal lesion is hyperintense on Т2 and iso- to hypointense on Т1, corresponding to an ischemic spinal stroke. The extraspinal lesion is hypointense on all sequences and corresponds to a chronic sSAH. The patient denies traumatic injuries, but is with a history of a regular intake of Acenocumarol for chronic atrial fibrillation. The laboratory investigations at hospital admittance showed that the patient is in a state of hypocoagulability. The applied medications resulted in satisfactory improvement of the neurological symptoms.In our opinion the presented case report is of interest because of the extreme rarity of sSAH, moreover in association with spinal ischemic stroke. The hypocoagualability state is the most probable cause of sSAH, which is later complicated with arterial vasospasm, the latter resulting in spinal ischemic stroke.
Authors and Affiliations
E. Viteva, O. Chaneva
Keywords
Related Articles
- EP ID EP241858
- DOI 10.9734/INDJ/2016/25903
- Views 113
- Downloads 0
Histomorphological Aberrations Associated with Cannabis and Caffeine Exposure in the Hippocampus of Juvenile Wistar Rats
Cannabis and caffeine are two psychoactive substances often abused. Cannabis is illegal in many countries, yet it constitutes a social menace as individuals still abuse the substance. Caffeine on the other hand is legal...
Suicide and Other Causes of Death in the Psychiatric Patients of a Mental Health Service over a 5-year Period
Aims: 1) To compare mortality rate and causes of death between psychiatric patients of a Mental Health Department (MHD) and local population of Modena. 2) To appraise the impact of selected demographic and clinical varia...
Quality of Life of Subjects with Leprosy and Albinism
Background: Disfiguring skin disorders like leprosy and albinism may negatively distort a patient’s body image with resultant impairment in quality of life. Objective: This study determined and compared the quality of l...
Dream Anxiety in Patients with Rapid Eye Movement Dependent Obstructive Sleep Apnea Syndrome
Aims: The aim of this study is to investigate the effect of the breathing disorders that arise during sleep and are predominantly observed in Rapid Eye Movement (REM) phase onto the dreams which have negative effects on...
Socio-Demographic and Clinical Features of Children with Intellectual Disability and Their Parents-an Indian Study
Aim: Intellectual disability often referred to as a mental, cognitive or mental retardation is a lifelong condition that affects intellectual functioning and adaptive behaviors. Information about children with intellectu...