Thoracolumbar spinal vascular malformation as a rare cause of isolated intraventricular hemorrhage.
Spinal vascular malformations are rare vascular lesions that most frequently present with back pain, radiculopathy, and/or myelopathy. Neurological decline is typically secondary to progressive radiculopathy, myelopathy, venous thrombosis, and stroke. Few case reports have described thoracolumbar spinal vascular malformations that present with both subarachnoid and intraventricular hemorrhage. This is the first reported case of a thoracolumbar spinal vascular malformation presenting with isolated intraventricular hemorrhage on initial imaging followed by acute and fatal rehemorrhage.
Division of Pediatric Neurosurgery, Nationwide Children's Hospital;
Evan S
ES
Marlin
John J
JJ
Entwistle
Michael A
MA
Arnold
Christopher R
CR
Pierson
Lance S
LS
Governale
D002543:Cerebral Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology; D002552:Cerebral Ventricles; D002675:Child, Preschool; D017809:Fatal Outcome; D005260:Female; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D012008:Recurrence; D013116:Spinal Cord / Q000098:blood supply*; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology*; D013904:Thoracic Vertebrae; D014057:Tomography, X-Ray Computed; D054079:Vascular Malformations / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology
IVH = intraventricular hemorrhage; SAH = subarachnoid hemorrhage; SAVF = spinal cord arteriovenous fistula; SVM = spinal vascular malformation; hydrocephalus; intraventricular hemorrhage; rehemorrhage; spinal arteriovenous malformation; spine; subarachnoid hemorrhage; vascular disorders