Idiopathic, Spontaneous Thoracic Subarachnoid Hematoma

Case Report

Korean J Spine 2007;4(2): 72-75.

Ho-Jin Bong, M.D., Jong-Tae Kim, M.D., Kyung-Sul Jang, M.D., Dong-Sup Chung, M.D., Young-Sup Park, M.D.

Department of Neurosurgery, Our Lady of Mercy Hospital, The Catholic University of Korea

원인 불명의 자발성 흉추부 지주막하 출혈

봉호진ㆍ김종태ㆍ장경술ㆍ정동섭ㆍ박영섭

가톨릭대학교 의과대학 성모자애병원 신경외과학교실

Abstract

Spinal subarachnoid hematomas are rarely seen in clinical practice and are usually associated with a variety of predisposng factors. The occurrence of spontaneous spinal subarachnoid hematoma of unknown pathogenesis is extremely rare. The authors report a case of spontaneous and idiopathic spinal subarachnoid hematoma on 1st and 2nd thoracic vertebrae. The patient felt sudden both shoulder pain and upper back pain. The magnetic resonance image(MRI) confirms focal mass in left ventrolateral spinal canal displacing cord posterolaterally. We operated immediately and patient's neurologic symptoms and signs were improved.

Keywords: Spinal subarachnoid hemorrhageㆍSpontaneousㆍIdiopathic