A Zebra Diagnosis: A Case of Spontaneous Hematomyelia Associated With COVID-19

Spontaneous non-traumatic spinal hematomyelia, characterized by intramedullary spinal hematoma, is a rare neurological emergency. Bleeding arteriovenous malformation, coagulopathies, and neoplasms are reported causes of this rare diagnosis. The authors present a case of a previously healthy man who...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-06, Vol.15 (6), p.e40452
Main Authors: Ahmed, Elham, Saleh-Anaraki, Kimia, Onyegbule, Chima, AlAfun, Mamoon, Ammar, Hussam M
Format: Article
Language:English
Subjects:
Back pain
Bladder
Case reports
COVID-19
Emergency medical care
Emergency Medicine
Epidural
Guillain-Barre syndrome
Hematoma
Hemorrhage
Infections
Infectious Disease
Internal Medicine
Magnetic resonance imaging
Medical diagnosis
Paralysis
Patients
Pneumonia
Respiratory failure
Spinal cord
Surgery
Thrombosis
Trauma
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Summary:Spontaneous non-traumatic spinal hematomyelia, characterized by intramedullary spinal hematoma, is a rare neurological emergency. Bleeding arteriovenous malformation, coagulopathies, and neoplasms are reported causes of this rare diagnosis. The authors present a case of a previously healthy man who presented with acute paraplegia and was found to have a spontaneous hematomyelia in association with covid infection. He underwent laminectomy and hematoma evacuation but did not recover any neurological function.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.40452