Non-traumatic Hematomyelia: A Rare Finding in Clinical Practice

  • Eva Claro Department of Internal Medicine, Centro Hospitalar do Meio Tejo, EPE, Tomar, Portugal
  • Alexandra Dias Department of Internal Medicine, Centro Hospitalar do Meio Tejo, EPE, Tomar, Portugal
  • Geetha Girithari Department of Internal Medicine, Centro Hospitalar do Meio Tejo, EPE, Tomar, Portugal
  • Ana Massano Department of Neurology, Centro Hospitalar do Meio Tejo, EPE, Abrantes, Portugal
  • Maria Aurora Duarte Department of Internal Medicine, Centro Hospitalar do Meio Tejo, EPE, Tomar, Portugal

Keywords

Haematomyelia, arteriovenous malformations, spinal cord, magnetic resonance imaging, angiography

Abstract

Non-traumatic haematomyelia is a rare finding of acute onset, which in most cases is the result of arteriovenous malformations (AVM), tumours, coagulation disorders or autoimmune conditions, but may also be secondary to treatment with anticoagulants and radiotherapy. We present the case of a 58-year-old woman with sudden onset cervical pain, followed by asymmetric diminution of strength in the upper limbs with reduced pain sensitivity. The diagnosis of AVM at the C7 and D1 levels was made following cervico-dorsal magnetic resonance imaging and angiography. Treatment was embolization with immediate isolation of the AVM.

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  • Published: 2018-10-16

    Issue: LATEST ONLINE (view)

    Section: Articles

    How to cite:
    Claro, E., Dias, A., Girithari, G., Massano, A., & Duarte, M. A. (2018). Non-traumatic Hematomyelia: A Rare Finding in Clinical Practice. European Journal of Case Reports in Internal Medicine, 2. https://doi.org/https://doi.org/10.12890/2018_000961