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Spinal subarachnoid haemorrhage presenting as spinal block without meningism
Postgraduate Medical Journal
|November 1, 1985
Summary
Spinal subarachnoid hemorrhage can cause spinal cord compression without meningism. Surgical decompression of blood clots led to significant recovery, highlighting the need for early diagnosis in patients with acute back pain and progressive neurological deficits.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Spinal subarachnoid hemorrhage is a rare condition.
- It can lead to progressive spinal cord compression.
- Meningism is often absent in spinal subarachnoid hemorrhage.
Observation:
- A case of spinal subarachnoid hemorrhage presented with progressive spinal cord compression.
- No signs of meningism were observed.
- Spinal block was confirmed by myelography and computerized tomography.
Findings:
- Surgical decompression of the subarachnoid blood clot resulted in almost complete recovery.
- Early diagnosis is crucial for favorable outcomes.
Implications:
- Consider spinal subarachnoid hemorrhage in patients with acute back pain and progressive neurological signs.
- Diagnostic imaging like myelography and CT are essential.
- Prompt surgical intervention can reverse neurological deficits.