Subarachnoid Hemorrhage due to Spinal Cord Schwannoma Presenting Findings Mimicking Meningitis

Background Subarachnoid hemorrhage (SAH) of spinal origin is uncommon in clinical practice, and spinal schwannomas associated with SAH are even more rarely reported. We report an unusual case of spinal SAH mimicking meningitis with normal brain computed tomography (CT)/magnetic resonance imaging (MR...

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Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2016-08, Vol.25 (8), p.e123-e125
Main Authors: Zhang, Hong-Mei, MD, Zhang, Yin-Xi, MD, Zhang, Qing, MD, Song, Shui-Jiang, MD, Liu, Zhi-Rong, MD
Format: Article
Language:English
Subjects:
Adult
Cardiovascular
Female
Humans
lumbar puncture
Magnetic Resonance Imaging
meningitis
Neurilemmoma - complications
Neurilemmoma - diagnostic imaging
Neurology
schwannoma
Spinal cord
Spinal Cord Neoplasms - complications
Spinal Cord Neoplasms - diagnostic imaging
subarachnoid hemorrhage
Subarachnoid Hemorrhage - diagnostic imaging
Subarachnoid Hemorrhage - etiology
Tomography, X-Ray Computed
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Summary:Background Subarachnoid hemorrhage (SAH) of spinal origin is uncommon in clinical practice, and spinal schwannomas associated with SAH are even more rarely reported. We report an unusual case of spinal SAH mimicking meningitis with normal brain computed tomography (CT)/magnetic resonance imaging (MRI) and negative CT angiography. Cerebrospinal fluid examination results were consistent with the manifestation of SAH. Spinal MRI performed subsequently showed an intradural extramedullary mass. The patient received surgery and was finally diagnosed with spinal cord schwannoma. Method A retrospective chart review of the patient was performed. Results We describe a case of SAH due to spinal cord schwannoma. Our case highlights the importance of careful history taking and complete evaluation. Conclusion We emphasize that spinal causes should always be ruled out in patients with angionegative SAH and that schwannoma should be considered in the differential diagnosis of SAH etiologies even though rare.
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2016.04.024