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Acute Spinal Subarachnoid Hemorrhage: Case Report Cured by Continuous Cerebrospinal Fluid Drainage by Lumbar Puncture

Received: 31 May 2021     Accepted: 17 June 2021     Published: 26 June 2021
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Abstract

Background: Spinal subarachnoid hemorrhage (SSH) is a rare condition that can lead to severe neurological deficits. Clinicians should consider SSH when neurological deficits such as low back pain, pain hyperalgesia, paraplegia, and urinary and fecal incontinence are present. There is much debate as to whether SSH should be treated surgically or conservatively. There are few reports in the literature about this disease. In this paper, we report a case of SSH in terms of etiology, clinical manifestations, diagnosis and treatment. Methods: A case of SSH in our hospital was retrospectively analyzed in terms of etiology, pathogenesis, clinical manifestations, diagnosis and treatment. Results: The possible etiology of SSH in this case was due to rapid changes in intra-thoracic and intra-abdominal pressure due to prolonged bending, which caused tearing of the blood vessels in the subarachnoid space. The patient has returned to normal life with continuous lumbar puncture for cerebrospinal fluid drainage. Conclusion: We report a case of SSH with typical symptoms of back pain, sensory, motor and autonomic dysfunction. MRI is used as the method of choice to diagnose SSH, which is typically characterized by the lumbar sedimentation sign. Lumbar puncture for continuous drainage of cerebrospinal fluid is simple and less invasive, and may be considered by neurosurgeons as the treatment of choice for SSH, with further surgical treatment considered if results are poor.

Published in International Journal of Neurosurgery (Volume 5, Issue 1)
DOI 10.11648/j.ijn.20210501.22
Page(s) 52-56
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Spinal Subarachnoid Hemorrhage (SSH), Continuous Cerebrospinal Fluid Drainage, Lumbar Puncture, Conservative Treatment, MRI, Paraplegia

References
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  • APA Style

    Junfu Li, Dianshuang Xu, Zhiyong Chen, Wei Li, Maoying Zhang, et al. (2021). Acute Spinal Subarachnoid Hemorrhage: Case Report Cured by Continuous Cerebrospinal Fluid Drainage by Lumbar Puncture. International Journal of Neurosurgery, 5(1), 52-56. https://doi.org/10.11648/j.ijn.20210501.22

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    ACS Style

    Junfu Li; Dianshuang Xu; Zhiyong Chen; Wei Li; Maoying Zhang, et al. Acute Spinal Subarachnoid Hemorrhage: Case Report Cured by Continuous Cerebrospinal Fluid Drainage by Lumbar Puncture. Int. J. Neurosurg. 2021, 5(1), 52-56. doi: 10.11648/j.ijn.20210501.22

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    AMA Style

    Junfu Li, Dianshuang Xu, Zhiyong Chen, Wei Li, Maoying Zhang, et al. Acute Spinal Subarachnoid Hemorrhage: Case Report Cured by Continuous Cerebrospinal Fluid Drainage by Lumbar Puncture. Int J Neurosurg. 2021;5(1):52-56. doi: 10.11648/j.ijn.20210501.22

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  • @article{10.11648/j.ijn.20210501.22,
      author = {Junfu Li and Dianshuang Xu and Zhiyong Chen and Wei Li and Maoying Zhang and Zhaoming Li},
      title = {Acute Spinal Subarachnoid Hemorrhage: Case Report Cured by Continuous Cerebrospinal Fluid Drainage by Lumbar Puncture},
      journal = {International Journal of Neurosurgery},
      volume = {5},
      number = {1},
      pages = {52-56},
      doi = {10.11648/j.ijn.20210501.22},
      url = {https://doi.org/10.11648/j.ijn.20210501.22},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20210501.22},
      abstract = {Background: Spinal subarachnoid hemorrhage (SSH) is a rare condition that can lead to severe neurological deficits. Clinicians should consider SSH when neurological deficits such as low back pain, pain hyperalgesia, paraplegia, and urinary and fecal incontinence are present. There is much debate as to whether SSH should be treated surgically or conservatively. There are few reports in the literature about this disease. In this paper, we report a case of SSH in terms of etiology, clinical manifestations, diagnosis and treatment. Methods: A case of SSH in our hospital was retrospectively analyzed in terms of etiology, pathogenesis, clinical manifestations, diagnosis and treatment. Results: The possible etiology of SSH in this case was due to rapid changes in intra-thoracic and intra-abdominal pressure due to prolonged bending, which caused tearing of the blood vessels in the subarachnoid space. The patient has returned to normal life with continuous lumbar puncture for cerebrospinal fluid drainage. Conclusion: We report a case of SSH with typical symptoms of back pain, sensory, motor and autonomic dysfunction. MRI is used as the method of choice to diagnose SSH, which is typically characterized by the lumbar sedimentation sign. Lumbar puncture for continuous drainage of cerebrospinal fluid is simple and less invasive, and may be considered by neurosurgeons as the treatment of choice for SSH, with further surgical treatment considered if results are poor.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Acute Spinal Subarachnoid Hemorrhage: Case Report Cured by Continuous Cerebrospinal Fluid Drainage by Lumbar Puncture
    AU  - Junfu Li
    AU  - Dianshuang Xu
    AU  - Zhiyong Chen
    AU  - Wei Li
    AU  - Maoying Zhang
    AU  - Zhaoming Li
    Y1  - 2021/06/26
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijn.20210501.22
    DO  - 10.11648/j.ijn.20210501.22
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 52
    EP  - 56
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20210501.22
    AB  - Background: Spinal subarachnoid hemorrhage (SSH) is a rare condition that can lead to severe neurological deficits. Clinicians should consider SSH when neurological deficits such as low back pain, pain hyperalgesia, paraplegia, and urinary and fecal incontinence are present. There is much debate as to whether SSH should be treated surgically or conservatively. There are few reports in the literature about this disease. In this paper, we report a case of SSH in terms of etiology, clinical manifestations, diagnosis and treatment. Methods: A case of SSH in our hospital was retrospectively analyzed in terms of etiology, pathogenesis, clinical manifestations, diagnosis and treatment. Results: The possible etiology of SSH in this case was due to rapid changes in intra-thoracic and intra-abdominal pressure due to prolonged bending, which caused tearing of the blood vessels in the subarachnoid space. The patient has returned to normal life with continuous lumbar puncture for cerebrospinal fluid drainage. Conclusion: We report a case of SSH with typical symptoms of back pain, sensory, motor and autonomic dysfunction. MRI is used as the method of choice to diagnose SSH, which is typically characterized by the lumbar sedimentation sign. Lumbar puncture for continuous drainage of cerebrospinal fluid is simple and less invasive, and may be considered by neurosurgeons as the treatment of choice for SSH, with further surgical treatment considered if results are poor.
    VL  - 5
    IS  - 1
    ER  - 

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Author Information
  • Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Office of the President, Chaoshan Hospital, The First Hospital of Jinan University, Chaoshan, China

  • Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Neurosurgery, The First Affiliated Hospital of Jinan University, Guangzhou, China

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