title: Intramedullary hemorrhage caused by spinal cord hemangioblastoma: a case report.
abstract: BACKGROUND
  Hemorrhage caused by spinal cord hemangioblastoma is rare, usually presenting as a subarachnoid hemorrhage. Intramedullary hemorrhage is an extremely rare manifestation of spinal cord hemangioblastoma.
  
  
  METHODS
  Forty-year-old Japanese male patient presented with acute paraplegia. Magnetic resonance (MR) imaging of the spinal cord revealed intramedullary hemorrhage. An intramedullary mass lesion was detected at the 8th thoracic vertebral level (T8) in a gadolinium enhanced-MR image. Spinal angiography revealed an intramedullary tumor stain at the level of T8. Therefore we diagnosed the problem as intramedullary hemorrhage caused by the hemangioblastoma. One month after the onset, extirpation of the intramedullary hemangioblastoma was performed. The tumor was completely removed. Pathological findings revealed a typical hemangioblastoma. At his final follow-up visit, the patient showed no apparent neurological recovery.
  
  
  CONCLUSIONS
  Hemangioblastoma can be a cause of intramedullary hemorrhage should be considered in such cases.
authors.affiliation: Department of Orthopedic Surgery, Chiba Aoba Municipal Hospital, 1-8-1, Inohana, Chuo-K, Chiba 260-8670, Japan. masaokod@gmail.com.
authors.forename: Masao
authors.initials: M
authors.lastname: Koda
authors.forename: Chikato
authors.initials: C
authors.lastname: Mannoji
authors.forename: Takashi
authors.initials: T
authors.lastname: Itabashi
authors.forename: Tsuneji
authors.initials: T
authors.lastname: Kita
authors.forename: Masazumi
authors.initials: M
authors.lastname: Murakami
authors.forename: Masashi
authors.initials: M
authors.lastname: Yamazaki
authors.forename: Masaaki
authors.initials: M
authors.lastname: Aramomi
authors.forename: Osamu
authors.initials: O
authors.lastname: Ikeda
authors.forename: Takeo
authors.initials: T
authors.lastname: Furuya
mesh_terms: D000328:Adult; D018325:Hemangioblastoma / Q000150:complications* / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011300:Preoperative Care; D013120:Spinal Cord Neoplasms / Q000150:complications* / Q000601:surgery