Cervical neuroma presenting as a subarachnoid hemorrhage: case report.

Domenico Iacopino, Domenico G. Iacopino, Sergio Valentini, Pier L. Lanza, Giuseppe Corriero

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Abstract

OBJECTIVE AND IMPORTANCE: The association of subarachnoid hemorrhage (SAH) with spinal lesions is well known, but hemorrhage from a cervical schwannoma is exceedingly rare. The histopathology and the mechanism of bleeding are discussed.CLINICAL PRESENTATION: We report a healthy 37-year-old man presenting with SAH after intense physical stress caused by bleeding of a cervical neuroma.INTERVENTION: A C6-T1 laminectomy disclosed an ovoid lesion, 4 cm in diameter; extremely dilated veins originated from the tumor. Removal of the spinal lesion resulted in immediate decongestion of the related venous network. The histopathological examination confirmed that the lesion was a telangiectatic schwannoma. The mechanism of bleeding of the intraforaminal cervical schwannoma is discussed.CONCLUSION: Telangiectatic neuromas may be a cause of occult SAH. The importance of magnetic resonance imaging of the cervical spine is emphasized to explain SAH with negative findings on four-vessel angiography in patients whose SAH may have a surgically correctable cause distant from the intracranial compartment.
Lingua originaleEnglish
pagine (da-a)1046-1049
Numero di pagine4
RivistaNEUROSURGERY
Volume39
Stato di pubblicazionePublished - 1996

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cita questo

Iacopino, D., Iacopino, D. G., Valentini, S., Lanza, P. L., & Corriero, G. (1996). Cervical neuroma presenting as a subarachnoid hemorrhage: case report. NEUROSURGERY, 39, 1046-1049.