Hematomyelia

Hematomyelia (formally, Intramedullary spinal cord hemorrhage, also called Intraspinal hemorrhage) is the bleeding of spinal cord.^[1] Its presence indicates a spinal cord injury, and it is one of the causes of myelopathy, as a result of the compression and destruction of the spinal cord.^[1]^[2]^[3] Unlike spinal cord contusion (spinal cord edema), which usually regresses over 1-2 weeks, whose prognosis is generally good for neurologic recovery, a hematomyelia greater than 10 mm in diameter indicates a complete neurologic injury.^[3]

References

^ ^a ^b Agarwal, Amit; Kanekar, Sangam; Thamburaj, Krishnamurthy; Vijay, Kanupriya (2014-10-23). "Radiation-induced spinal cord hemorrhage (hematomyelia)". Neurology International (This journal is not currently indexed in Medline). 6 (4): 5553. doi:10.4081/ni.2014.5553. ISSN 2035-8385. PMC 4274409. PMID 25568739. Retrieved 2025-05-12. Intramedullary spinal cord hemorrhage (hematomyelia) is an uncommon cause of myelopathy and can present in an acute, subacute, stepwise, or chronic fashion.
^ Akpınar, Aykut; Celik, Bahattin; Canbek, Ihsan; Karavelioğlu, Ergun (2016). "Acute Paraplegia due to Thoracic Hematomyelia". Case Reports in Neurological Medicine (This journal is not currently indexed in Medline). 2016: 3138917. doi:10.1155/2016/3138917. ISSN 2090-6668. PMC 4960333. PMID 27478663. Hematomyelia usually causes acute spinal cord syndrome due to the compression and destruction of the spinal cord. A high-dose steroid treatment and surgical decompression and evacuation of hematoma are the urgent solution methods.
^ ^a ^b Do-Dai, Daniel D.; Brooks, Michael K.; Goldkamp, Allison; Erbay, Sami; Bhadelia, Rafeeque A. (2010). "Magnetic Resonance Imaging of Intramedullary Spinal Cord Lesions: A Pictorial Review". Current Problems in Diagnostic Radiology. 39 (4): 160–185. doi:10.1067/j.cpradiol.2009.05.004. Retrieved 2025-05-12. Findings of spinal cord injury include hemorrhage, edema, and swelling. Identification of spinal cord hemorrhage of greater than 10 mm in diameter indicates a complete neurologic injury.

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[q188-1] Agarwal, Amit; Kanekar, Sangam; Thamburaj, Krishnamurthy; Vijay, Kanupriya (2014-10-23). "Radiation-induced spinal cord hemorrhage (hematomyelia)". Neurology International (This journal is not currently indexed in Medline). 6 (4): 5553. doi:10.4081/ni.2014.5553. ISSN 2035-8385. PMC 4274409. PMID 25568739. Retrieved 2025-05-12. Intramedullary spinal cord hemorrhage (hematomyelia) is an uncommon cause of myelopathy and can present in an acute, subacute, stepwise, or chronic fashion.

[r444-2] Akpınar, Aykut; Celik, Bahattin; Canbek, Ihsan; Karavelioğlu, Ergun (2016). "Acute Paraplegia due to Thoracic Hematomyelia". Case Reports in Neurological Medicine (This journal is not currently indexed in Medline). 2016: 3138917. doi:10.1155/2016/3138917. ISSN 2090-6668. PMC 4960333. PMID 27478663. Hematomyelia usually causes acute spinal cord syndrome due to the compression and destruction of the spinal cord. A high-dose steroid treatment and surgical decompression and evacuation of hematoma are the urgent solution methods.

[h494-3] Do-Dai, Daniel D.; Brooks, Michael K.; Goldkamp, Allison; Erbay, Sami; Bhadelia, Rafeeque A. (2010). "Magnetic Resonance Imaging of Intramedullary Spinal Cord Lesions: A Pictorial Review". Current Problems in Diagnostic Radiology. 39 (4): 160–185. doi:10.1067/j.cpradiol.2009.05.004. Retrieved 2025-05-12. Findings of spinal cord injury include hemorrhage, edema, and swelling. Identification of spinal cord hemorrhage of greater than 10 mm in diameter indicates a complete neurologic injury.

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