Report of two cases of spinal subarachnoid hemorrhage.doc

 PAGE \* MERGEFORMAT 7 Report of two cases of spinal subarachnoid hemorrhage Author: Zhong Fangfang, Wucheng Long, Wang Liping, Sun Xin-fang [Keywords:] spinal subarachnoid hemorrhage; diagnosis; MRI; Spinal subarachnoid hemorrhage is soft meninges or spinal cord caused by rupture of the surface of blood vessels acute hemorrhagic spinal cord disease. The rare disease, accounting for subarachnoid hemorrhage (SAH) cases in less than 1% [1], clinical manifestations vary, easily misdiagnosed. Now admitted to our department reported two cases of spinal SAH is as follows, combined with literature to make a misdiagnosis. 1 Case description Cases of a patient, female, 29 years old, due to ‘neck and shoulder back pain 5 days, headache two days’ on February 8, 2008 undergraduate entry. 5 days before admission in patients with no obvious incentive to appear under the neck, shoulder, back pain, once difficulties in urinating, indwelling catheterization two days later, difficulty urinating ease. 3 days after the headache associated with nausea. At that time no limb numbness, activity disorders. Had outpatient cervical CT: cervical disc 5,6. Head CT without Shu. Admission examination: vital signs were stable, God-ching, cranial nerve examination negative, cervical resistance, Kernig sign (+) limb muscle strength, muscle tension normal and pathological negative sign. Admission diagnosis: cervical spondylosis. Admission check routine blood test, blood coagulation and no Shu spectrum. Cervical spine MRI: cervical disc 5,6. OK lumbar puncture: cerebrospinal fluid was uniformly red and bloody fluid, measuring the pressure 210mmH2O. No abnormal head CT review. Thoracic MRI: posterior thoracic spinal level 3,4,5,6 abnormal signal. Subsequently diagnosed as spinal subarachnoid hemorrhage. Cases of two patients, male, 33 years old, because of ‘headache associated with nausea, vomiting, four hours’ on September 15, 2007 admission. When work in the fields in patients with severe