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Case Reports in Neurological Medicine
Volume 2016, Article ID 3138917, 3 pages
Case Report

Acute Paraplegia due to Thoracic Hematomyelia

1Department of Neurosurgery, Haseki Research and Training Hospital, Aksaray Street, Fatih, 34130 Istanbul, Turkey
2Department of Neurosurgery, Özel Osm Ortadoğu Hospital, 63100 Şanlıurfa, Turkey
3Department of Neurosurgery, Afyon Kocatepe University Hospital, 03103 Afyonkarahisar, Turkey

Received 7 January 2016; Revised 21 May 2016; Accepted 14 June 2016

Academic Editor: Chin-Chang Huang

Copyright © 2016 Aykut Akpınar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Spontaneous intraspinal intramedullary hemorrhage is a rare entity with the acute onset of neurologic symptoms. The etiology of idiopathic spontaneous hematomyelia (ISH) is unknown, and there are few published case reports. Hematomyelia is mostly associated with trauma, but the other nontraumatic etiologies are vascular malformations, tumors, bleeding disorders, syphilis, syrinx, and myelitis. MRI is a good choice for early diagnosis. 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. We present idiopathic spontaneous hematomyelia of a previously healthy 80-year-old male with a sudden onset of back pain and paraplegia.