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An uncommon cause of acute back pain: spinal subarachnoid hemorrhage progressing to spinal cord compression.

MedStar author(s):

Citation: Journal of Emergency Medicine. 48(4):432-5, 2015 Apr.PMID: 25618833Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Back Pain/et [Etiology] | *Spinal Cord Compression/et [Etiology] | *Subarachnoid Hemorrhage/co [Complications] | Acute Disease | Diagnosis, Differential | Humans | Male | Middle AgedYear: 2015 Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007ISSN:

0736-4679

Name of journal: The Journal of emergency medicineAbstract: BACKGROUND: Spinal subarachnoid hemorrhage (SSH) is an uncommon occurrence responsible for <1% of all cases of subarachnoid hemorrhage (SAH).CASE REPORT: We present the case of a 53-year-old man who presented to the emergency department (ED) with acute onset of "tearing" back pain that began during activity, and who was diagnosed with an SSH that ultimately progressed to spinal cord compression. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Although uncommon, the consequences of SSH are potentially devastating, yet reversible, making awareness of this condition critical. Several rare yet potentially devastating causes of acute back pain are deserving of consideration when approaching back pain in the ED setting; SSH is among them. Pain that is described as "tearing" or that is unresponsive to ordinary analgesic dosages should prompt strong consideration of vascular or other serious pathology, including arterial dissection or spinal cord compression.Copyright © 2015 Elsevier Inc. All rights reserved.All authors: Davis JE, Kappler SBFiscal year: FY2015Digital Object Identifier:

http://dx.doi.org/10.1016/j.jemermed.2014.11.009

Date added to catalog: 2016-05-24

Holdings ( 1 )
Title notes ( 4 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	25618833	Available		25618833

Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007

BACKGROUND: Spinal subarachnoid hemorrhage (SSH) is an uncommon occurrence responsible for <1% of all cases of subarachnoid hemorrhage (SAH).

CASE REPORT: We present the case of a 53-year-old man who presented to the emergency department (ED) with acute onset of "tearing" back pain that began during activity, and who was diagnosed with an SSH that ultimately progressed to spinal cord compression. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Although uncommon, the consequences of SSH are potentially devastating, yet reversible, making awareness of this condition critical. Several rare yet potentially devastating causes of acute back pain are deserving of consideration when approaching back pain in the ED setting; SSH is among them. Pain that is described as "tearing" or that is unresponsive to ordinary analgesic dosages should prompt strong consideration of vascular or other serious pathology, including arterial dissection or spinal cord compression.Copyright © 2015 Elsevier Inc. All rights reserved.

English