eMedicine Specialties > Neurology > Neurological Emergencies
Spinal Cord Hemorrhage: Differential Diagnoses & Workup
Updated: Dec 4, 2008
- Overview
- Differential Diagnoses & Workup
- Treatment & Medication
- Follow-up
- Multimedia
Differential Diagnoses
Other Problems to Be Considered
Spinal injury
Spinal cord tumors
Cervical disk syndromes
Lumbosacral disk syndromes
Posttraumatic pain syndromes
Back pain
Workup
Laboratory Studies
- CBC count with platelets
- Prothrombin time/activated partial thromboplastin time - To exclude coagulopathy
Imaging Studies
- Spinal MRI
- Preferred test to confirm presence and delineate location of hemorrhage (see Media file 1)
- May indicate underlying pathology
- CT myelography - Use when MRI is unavailable or if patient cannot tolerate MRI
Procedures
- Lumbar puncture: Cerebrospinal fluid (CSF) is usually bloody or xanthochromic and protein content is increased.
- Spinal angiography: Selective spinal angiography may be helpful in delineating the size, location, configuration, and blood flow of a malformation.
More on Spinal Cord Hemorrhage |
| Overview: Spinal Cord Hemorrhage |
Differential Diagnoses & Workup: Spinal Cord Hemorrhage |
| Treatment & Medication: Spinal Cord Hemorrhage |
| Follow-up: Spinal Cord Hemorrhage |
| Multimedia: Spinal Cord Hemorrhage |
| References |
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References
Aminoff MJ. Vascular disorders of the spinal cord. In: Davidoff RA, ed. Handbook of the Spinal Cord. New York: Marcel Dekker; 1987:259-97.
Barth A, Bougousslavsky J, Caplan LR. Spinal stroke syndromes. In: Barth A, Caplan LR, eds. Stroke Syndromes. 1995. New York: Cambridge University; 395-402.
Geldmacher DS, Bowen BC. Spinal cord vascular disease. In: Bradley WG, Daroff RB, Fenichel GM, Marsden CD, eds. Neurology in Clinical Practice Principles of Diagnosis and Management. 4th ed. Philadelphia, Pa: Butterworth-Heimann; 2004:1313-22.
Karavelis A, Foroglou G, Petsanas A, Zarampoukas T. Spinal cord dysfunction caused by non-traumatic hematomyelia. Spinal Cord. May 1996;34(5):268-71. [Medline].
Russell NA, Benoit BG. Spinal subdural hematoma. A review. Surg Neurol. Aug 1983;20(2):133-7. [Medline].
Toole JF. Spinal cord vascular anatomy and diseases. In: Toole JF, ed. Cerebrovascular Disorders. 4th ed. Baltimore, Md: Lippincott Williams & Wilkins; 1990:519-34.
Weisberg LA. Vascular diseases of the spinal cord. In: Rowland LP, ed. Merritt's Textbook of Neurology. 10th ed. Baltimore, Md: Lippincott Williams & Wilkins; 2001:271.
Further Reading
Keywords
spinal cord hemorrhage, hematomyelia, spinal subarachnoid hemorrhage, SAH, spinal epidural hemorrhage, EDH, subdural hemorrhage, SDH, subarachnoid space, bleeding in the spinal cord, intramedullary hemorrhage, spinal angioma
Differential Diagnoses & Workup: Spinal Cord Hemorrhage