6533b861fe1ef96bd12c5968

RESEARCH PRODUCT

Cervical Neuroma Presenting as a Subarachnoid Hemorrhage: Case Report

Giuseppe CorrieroDomenico G. IacopinoSergio ValentiniPier L. Lanza

subject

AdultMaleSettore MED/27 - NeurochirurgiaLaminectomySubarachnoid HemorrhageMagnetic Resonance ImagingNeuromaHead and Neck Neoplasmscervical neurinoma subarachnoid hemorrhageHumansSurgeryTelangiectasisNeurology (clinical)Tomography X-Ray Computed

description

OBJECTIVE AND IMPORTANCE: The association of subarachnoid hemorrhage (SAH) with spinal lesions is well known, but hemorrhage from a cervical schwannoma is exceedingly rare. The histopathology and the mechanism of bleeding are discussed. CLINICAL PRESENTATION: We report a healthy 37-year-old man presenting with SAH after intense physical stress caused by bleeding of a cervical neuroma. INTERVENTION: A C6-T1 laminectomy disclosed an ovoid lesion, 4 cm in diameter; extremely dilated veins originated from the tumor. Removal of the spinal lesion resulted in immediate decongestion of the related venous network. The histopathological examination confirmed that the lesion was a telangiectatic schwannoma. The mechanism of bleeding of the intraforaminal cervical schwannoma is discussed. CONCLUSION: Telangiectatic neuromas may be a cause of occult SAH. The importance of magnetic resonance imaging of the cervical spine is emphasized to explain SAH with negative findings on four-vessel angiography in patients whose SAH may have a surgically correctable cause distant from the intracranial compartment.

yearjournalcountryeditionlanguage
1996-11-01Neurosurgery
https://doi.org/10.1227/00006123-199611000-00036