Haematomyelia

Hematomyelia is hemorrhage in the tissue of the spinal cord.

Causes

Hematomyelia usually occurs as a result of spinal cord injury, such as a spinal fracture or contusion. Other possible reasons include:

1. Vascular abnormalities of the spinal cord, such as arteriovenous malformations

2. Spinal cord tumors

3. Coagulopathies or anticoagulant use

4. Inflammatory diseases such as myelitis

Symptoms

Symptoms of hematomyelia develop acutely and resemble syringomyelia. These include:

1. Back pain, especially in the area of ​​injury

2. Loss of sensation and weakness in the limbs

3. Disorders of the pelvic organs and rectum

4. Progressive paralysis of the lower extremities

Diagnostics

The diagnosis of hematomyelia is made based on the history, clinical picture, and CT or MRI results of the spinal cord, which show hemorrhage.

Treatment

Treatment is mainly conservative and consists of rest, pain relief and prevention of complications. Sometimes surgery is required to remove the hematoma and decompress the spinal cord. The prognosis depends on the size and location of the hemorrhage.

Hematomyela is an acute hemorrhage (hematological disorder), which is localized in the tissues of the spinal cord and allows this condition to be classified as a spinal pathology. Due to frequent clinical manifestations, a disease with similar symptoms - syringomyelia - is still popular among doctors, and hematomyelia is often diagnosed late due to the similar nature of the symptoms. This pathology was also called cerebrospinal hemorrhagic stroke - because all clinical manifestations are similar to those of cerebral stroke, only we are talking about pathology of the cardiovascular system. If the membrane of the spine is affected

Hematomyelitis (hematomyelitis, haematomyelia; from hemo- + myelos - bone marrow + -ia, suffix denoting disease) is an acute inflammation of the spinal cord associated with various diseases, accompanied by severe symptoms and life-threatening. Histological examination reveals hemorrhages of varying severity and proliferative processes. Hematomyelia may be accompanied by damage to peripheral nerves. It is characterized by acute pain in the lumbosacral region, changes in the sensitive functions of the skin, and deep sensitivity. Of great importance in establishing a diagnosis is the appearance of certain reflexes (hepatic, oculomotor) when the central nervous system is damaged, which are caused by dysfunction of the post part of the nuclear complex. Severe pain in the spine, changes in tendon reflexes, decreased reflex activity or the inability to detect them in the vessels and smooth muscles of the forelimbs, paresis of the arms are observed with extensive forms of hematomyelia or with intensive decay of the spinal cord over several hours. The decay of the spinal cord can be so massive that it leads to serious functional impairment. In this case, the diagnosis of hematomyelia is made not only by neurologists, but also by surgeons. Treatment tactics for hematomyelia of similar severity are complex and require multi-disciplinary