Spinal intradural haemorrhage in a patient with Wegener's Granulomatosis.
We describe the case of a patient with known Wegener's Granulomatosis who developed a spontaneous intradural haematoma in the thoracic spine against a background of a recent relapse in her vasculitis. Decompression resulted in a rapid recovery of lower limb function. We propose involvement of the spinal meninges in the systemic vasculitis as the cause of haemorrhage.
Guilfoyle
Mathew R
MR
Department of Neurosurgery, Addenbrooke's Hospital, Hills Road, Cambridge, UK. mathew.guilfoyle@addenbrookes.nhs.uk
Khan
Sadiqullah
S
Helmy
Adel
A
Jalloh
Ibrahim
I
Trivedi
Sapna
S
Trivedi
Rikin
R
Kirkpatrick
Peter J
PJ
D019299:Decompression, Surgical; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications*; D006408:Hematoma, Subdural / Q000150:complications / Q000601:surgery*; D006801:Humans; D007796:Laminectomy; D035002:Lower Extremity; D008279:Magnetic Resonance Imaging; D019635:Neurosurgical Procedures; D020127:Recovery of Function; D012008:Recurrence; D013122:Spinal Diseases / Q000150:complications / Q000601:surgery*; D013131:Spine / Q000473:pathology / Q000601:surgery; D014657:Vasculitis / Q000150:complications / Q000473:pathology; D055815:Young Adult