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Open Access 01-12-2024 | Subarachnoid Hemorrhage | Case Report

Aneurysmal subarachnoid hemorrhage complicating spinal subarachnoid hematoma causing acute cauda equina syndrome: a case report

Authors: Heng Ni, Yu Zheng, Shanshan Lu, Zhenyu Jia, Haibin Shi, Sheng Liu, Linbo Zhao

Published in: BMC Neurology | Issue 1/2024

Abstract

Background

Spinal subarachnoid hematoma (SSH) is a known but rare entity that can cause cauda equina compression. The occurrence of SSH associated with aneurysmal subarachnoid hemorrhage has rarely been described in the literature.

Case presentation

A 56-year-old woman presented with subarachnoid hemorrhage secondary to a ruptured middle cerebral artery aneurysm and was managed with coiling embolization without stent assistance. There was no history of either lumbar puncture or the use of anticoagulants. The patient developed severe lumbago radiating to bilateral legs nine days after the procedure. Subsequent magnetic resonance imaging demonstrated a SSH extending from L5 to S2 and wrapping around the cauda equina. The patient was treated with intravenous methylprednisolone (250 mg/day) for four consecutive days, followed by a taper of oral prednisolone (20 mg/day) until complete recovery. Magnetic resonance imaging at one month follow-up revealed complete resolution of the SSH.

Conclusions

Here, we report a case of acute cauda equina syndrome caused by a SSH after aneurysmal subarachnoid hemorrhage, which will facilitate timely intervention of patients with this disorder.

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Title: Aneurysmal subarachnoid hemorrhage complicating spinal subarachnoid hematoma causing acute cauda equina syndrome: a case report
Authors: Heng Ni
Yu Zheng
Shanshan Lu
Zhenyu Jia
Haibin Shi
Sheng Liu
Linbo Zhao
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Subarachnoid Hemorrhage
Subarachnoid Hemorrhage
Hematoma
Magnetic Resonance Imaging
Magnetic Resonance Imaging
Aneurysm
Aneurysm
Published in: BMC Neurology / Issue 1/2024
Electronic ISSN: 1471-2377
DOI: https://doi.org/10.1186/s12883-023-03404-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Aneurysmal subarachnoid hemorrhage complicating spinal subarachnoid hematoma causing acute cauda equina syndrome: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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