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Case Report

Radiation-Induced Spinal Cord Hemorrhage (Hematomyelia)

by
Amit Agarwal
1,*,
Sangam Kanekar
2,
Krishnamurthy Thamburaj
1 and
Kanupriya Vijay
1
1
Department of Radiology, Penn State University Hershey, PA
2
Department of Neurology and Radiology, University Drive, Hershey, PA, USA
*
Author to whom correspondence should be addressed.
Neurol. Int. 2014, 6(4), 5553; https://doi.org/10.4081/ni.2014.5553
Submission received: 15 July 2014 / Revised: 15 September 2014 / Accepted: 26 September 2014 / Published: 1 December 2014

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.
Keywords: hematomyelia; intramedullary; spinal cord; radiation hematomyelia; intramedullary; spinal cord; radiation

Share and Cite

MDPI and ACS Style

Agarwal, A.; Kanekar, S.; Thamburaj, K.; Vijay, K. Radiation-Induced Spinal Cord Hemorrhage (Hematomyelia). Neurol. Int. 2014, 6, 5553. https://doi.org/10.4081/ni.2014.5553

AMA Style

Agarwal A, Kanekar S, Thamburaj K, Vijay K. Radiation-Induced Spinal Cord Hemorrhage (Hematomyelia). Neurology International. 2014; 6(4):5553. https://doi.org/10.4081/ni.2014.5553

Chicago/Turabian Style

Agarwal, Amit, Sangam Kanekar, Krishnamurthy Thamburaj, and Kanupriya Vijay. 2014. "Radiation-Induced Spinal Cord Hemorrhage (Hematomyelia)" Neurology International 6, no. 4: 5553. https://doi.org/10.4081/ni.2014.5553

APA Style

Agarwal, A., Kanekar, S., Thamburaj, K., & Vijay, K. (2014). Radiation-Induced Spinal Cord Hemorrhage (Hematomyelia). Neurology International, 6(4), 5553. https://doi.org/10.4081/ni.2014.5553

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