Intramural Hemorrhage of Cervical Ependymoma in Von Willebrand’s Coagulopathy

[摘要] Background: Spinal cord tumors are rare. Majority originate in glial cells. Ependymoma are the most common intra-medullary tumors in adults. Intra-mural hemorrhage is a rare presentation. Coagulopathy may contribute to such a presentation. Case Report: A 38-year-old male, known to have mild bleeding disorder presented with a sudden-onset neck pain. Magnetic resonance images (MRI) of the spine demonstrated an intra-medullary mass extending from C5-T1 with a cystic component that has features of sub-acute hemorrhage like fluid-fluid level sign. The patient underwent C5-T1 laminectomy, midline myelotomy, and microscopic total resection of the spinal classical ependymoma with intra-mural hemorrhage. Hematological investigation suggested the diagnosis of low von Willebrand factor (VWF). Conclusion: This is a rare case of an intra-medullary ependymoma that presented with intra-mural hemorrhage.

[学科分类] 生理学

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