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February 1958

Subarachnoid Hemorrhage with Papilledema Due to Spinal Neurofibroma

Author Affiliations

Jerusalem

From the Departments of Nervous Diseases and Neurosurgery, Rothschild - Hadassah - University Hospital.

AMA Arch NeurPsych. 1958;79(2):138-141. doi:10.1001/archneurpsyc.1958.02340020018004
Abstract

The occurrence of spontaneous subarachnoid hemorrhage always raises urgent diagnostic and therapeutic problems. The early determination of the cause of hemorrhage is of great importance; and if no localizing signs are found, cerebral arteriography is usually performed on one or both sides. If papilledema is present in the bleeding patient, the presence of an intracranial space-occupying lesion is usually suspected.

Subarachnoid hemorrhage, however, may also be of spinal origin, usually from a spinal vascular anomaly1 or a spinal tumor.2 This condition seems to be rare, and only a small number of cases have been reported in the literature. In a series of 312 consecutive cases of spontaneous subarachnoid hemorrhage, only 2 such instances were recorded.3

A case is here reported of repeated subarachnoid hemorrhages and papilledema due to a spinal neurofibroma.

Report of a Case  A woman, aged 49, was admitted to the Department of Neurology because of

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