脊髓神经鞘瘤导致的蛛网膜下腔出血表现出类似脑膜炎的症状。

Subarachnoid Hemorrhage due to Spinal Cord Schwannoma Presenting Findings Mimicking Meningitis.

作者信息

Zhang Hong-Mei, Zhang Yin-Xi, Zhang Qing, Song Shui-Jiang, Liu Zhi-Rong

机构信息

Department of Neurology, Fourth Hospital of Ningbo City, Ningbo, China; Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

出版信息

J Stroke Cerebrovasc Dis. 2016 Aug;25(8):e123-5. doi: 10.1016/j.jstrokecerebrovasdis.2016.04.024. Epub 2016 May 24.

DOI:10.1016/j.jstrokecerebrovasdis.2016.04.024

PMID:27234920

Abstract

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.

摘要

背景

脊髓源性蛛网膜下腔出血（SAH）在临床实践中并不常见，而与SAH相关的脊髓神经鞘瘤的报道更为罕见。我们报告一例不寻常的脊髓SAH病例，其临床表现类似脑膜炎，脑部计算机断层扫描（CT）/磁共振成像（MRI）正常，CT血管造影阴性。脑脊液检查结果与SAH表现一致。随后进行的脊髓MRI显示硬膜内髓外肿块。患者接受了手术，最终被诊断为脊髓神经鞘瘤。