45 years old male with injury and developing of paraparesis

 

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Doctor's Information

Name : Morteza
Family : Sanei Taheri
Affiliation :Radiology Department,Shohada Tajrish Hospital,SBMU
Academic Degree : Associate Professor of Radiology
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Mohadese Mahvari

 

Case Section

Neuroradiology

 

Patient's Information

Gender : Male
Age : 45

 

Clinical Summary

45 years old male with injury and developing of paraparesis in hospital

 

Imaging Findings

In myelograms signal changes due to filling defects in thoracolumbar area is seen which has occupied the sub arachnoid space.On T2 & T1 sequences lumbar thecal sac high signal intensity is visible due to subacute haemorrhage . Areas of low signal intensity on T2 trough thorasic spine is noted,these signal alterations is because of blood in subarachnoid space.

 

Differential Diagnosis

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Final Diagnosis

spinal SAH

 

Discussion (Related Text)

This patient admitted in hospital due to head injury and SAH. After several days he developed paraparesis which is believed to be due to entrance of blood to spinal SAS.

 

References

1. ^ Jump up to: a b c d e f g h i j k l m n o p q r s t u v w x y z van Gijn J, Kerr RS, Rinkel GJ (2007). "Subarachnoid haemorrhage". Lancet 369 (9558): 306–18. doi:10.1016/S0140-6736(07)60153-6. PMID 17258671.
2. ^ Jump up to: a b c d e f Feigin VL, Rinkel GJ, Lawes CM, et al. (2005). "Risk factors for subarachnoid hemorrhage: an updated systematic review of epidemiological studies". Stroke 36 (12): 2773–80. doi:10.1161/01.STR.0000190838.02954.e8. PMID 16282541.
3. ^ Jump up to: a b c d e f g h i j Suarez JI, Tarr RW, Selman WR (January 2006). "Aneurysmal subarachnoid hemorrhage". New England Journal of Medicine 354 (4): 387–96. doi:10.1056/NEJMra052732. PMID 16436770.
4. ^ Jump up to: a b c Longmore, Murray; Ian Wilkinson, Tom Turmezei, Chee Kay Cheung (2007). Oxford Handbook of Clinical Medicine, 7th edition. Oxford University Press. p. 841. ISBN 0-19-856837-1

 

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