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Journal of Research in Medical Sciences، جلد ۱۸، شماره ۳، صفحات ۰-۰
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عنوان انگلیسی Spinal subarachnoid hemorrhage accompanied with intraventricular hemorrhage
چکیده انگلیسی مقاله Normal 0 false false false EN-US X-NONE AR-SA Spinal hematoma is a rare and usually severe neurological disorder that, without adequate treatment, often leads to death or permanent neurological deficit. Epidural as well as subdural and subarachnoid hematomas have been investigated in some studies. A 66-year-old man referred to our hospital because of acute onset paraplegia and incontinency started 3 h before admission. With impression of spinal hemorrhage, emergent cervicothoracic spinal MRI performed. On magnetic resonance imagination (MRI) mixed hyper/iso intense lesion in anterior subarachnoid space from C7 to T5 was seen. On brain A computerised tomography (CT) scan, subarachnoid hemorrhage and intraventricular hemorrhage in posterior parts of brain was seen. Unfortunately, the patient died 10 days later. About our patient, severe back pain accompanying by immediate paraplegia, sphincter disturbances, sensory level, and prominent meningeal signs guided us clinically to spinal subarachnoid hemorrhage. Further brain CT scan revealed diffusion of blood to brain subarachnoid space and ventricles. An outstanding finding on brain CT was the presence of blood only in posterior horn of lateral ventricles and dorsal fissures of brain supporting our theory that blood has diffused from spinal subarachnoid space to dorsal subarachnoid space of brain because of supine position of patient. In this patient anticoagulation may be the only sinister factor for developing complications. Key words: Anticoagulants , spinal subarachnoid hemorrhage, spinal subdural hematoma, tomography, X-ray computed
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نویسندگان مقاله فرزاد فاتحی | farzad fatehi
department of neurology, shariati hospital, iranian center of neurological research, tehran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

کیوان بصیری | keivan basiri
isfahan neurosciences research center, isfahan university of medical sciences, isfahan, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی اصفهان (Isfahan university of medical sciences)

عسکر قربانی | askar ghorbani
department of neurology, shariati hospital, iranian center of neurological research, tehran university of medical sciences, tehran, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نشانی اینترنتی http://jrms.mui.ac.ir/index.php/jrms/article/view/9041
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Case Reports
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