Radiation-induced spinal cord hemorrhage (hematomyelia)

Amit Agarwal, Sangam Kanekar, Krishnamurthy Thamburaj, Kanupriya Vijay

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Intraspinal hemorrhage is very rare and intramedullary hemorrhage, also called hematomyelia, is the rarest form of intraspinal hemorrhage, usually related to trauma. Spinal vascular malformations such intradural arteriovenous malformations are the most common cause of atraumatic hematomyelia. Other considerations include warfarin or heparin anticoagulation, bleeding disorders, spinal cord tumors. Radiation-induced hematomyelia of the cord is exceedingly rare with only one case in literature to date. We report the case of an 8 year old girl with Ewing's sarcoma of the thoracic vertebra, under radiation therapy, presenting with hematomyelia. We describe the clinical course, the findings on imaging studies and the available information in the literature. Recognition of the clinical pattern of spinal cord injury should lead clinicians to perform imaging studies to evaluate for compressive etiologies.

Original languageEnglish (US)
Article number5553
Pages (from-to)74-77
Number of pages4
JournalNeurology International
Volume6
Issue number4
DOIs
StatePublished - Jan 1 2014

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Keywords

  • Hematomyelia
  • Intramedullary
  • Spinal cord, radiation

ASJC Scopus subject areas

  • Clinical Neurology

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