Spinal Cord Hemorrhage Clinical Presentation

Updated: Mar 11, 2014
  • Author: Richard M Zweifler, MD; Chief Editor: Helmi L Lutsep, MD  more...
  • Print
Presentation

History

See the list below:

  • Intramedullary hemorrhage
    • Sudden, severe, localized back pain with or without radicular pain
    • Hemiparesis, paraparesis, or quadriparesis
    • Sensory loss below the lesion
    • Loss of sphincter control
  • Spinal subarachnoid hemorrhage
    • Sudden, severe, localized back pain with or without radicular pain
    • Headache
    • Meningismus
  • Spinal epidural hemorrhage and spinal subdural hemorrhage
    • Sudden, severe, localized back pain with or without radicular pain
    • Hemiparesis, paraparesis, or quadriparesis
    • Sensory loss below lesion
    • Loss of sphincter control
Next:

Physical

See the list below:

  • Intramedullary hemorrhage - Myelopathy (eg, Brown-Séquard syndrome, central cord syndrome, transection syndrome, conus medullaris syndrome) with or without radiculopathy
  • Spinal subarachnoid hemorrhage
    • Myelopathy (eg, Brown-Séquard syndrome, transection syndrome, conus medullaris syndrome, cauda equina syndrome) with or without radiculopathy
    • Cranial neuropathies
    • Papilledema
    • May have cutaneous angioma or bruit over the spine
  • Spinal epidural hemorrhage and spinal subdural hemorrhage - Myelopathy (eg, Brown-Séquard syndrome, transection syndrome, conus medullaris syndrome, cauda equina syndrome) with or without radiculopathy
Previous
Next:

Causes

See the list below:

  • Intramedullary hemorrhage
    • Trauma
    • Vascular malformations
    • Bleeding diatheses
    • Anticoagulants
    • Hemorrhage into tumor
    • Venous infarction
    • Spinal radiation
    • Gower's intrasyringal hemorrhage
  • Spinal subarachnoid hemorrhage
    • Spinal angioma
    • Spinal artery aneurysm
    • Intracranial aneurysm
    • Bleeding diatheses
    • Anticoagulants
    • Polyarteritis nodosa
    • Hemorrhage into tumor
    • Trauma
    • Lumbar puncture
  • Spinal epidural hemorrhage
    • Spontaneous
    • Trauma
    • Liver disease with portal hypertension
    • Bleeding diatheses
    • Lumbar puncture
    • Epidural anesthesia
    • Epidural vascular malformation
  • Spinal subdural hemorrhage
    • Bleeding diatheses
    • Anticoagulants
    • Trauma
    • Lumbar puncture
    • Vascular malformations
    • Spinal surgery
    • Spontaneous
Previous