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Review
. 2008 Feb;150(2):185-8.
doi: 10.1007/s00701-007-1407-7. Epub 2007 Dec 7.

Ependymoma of conus medullaris presenting as subarachnoid haemorrhage

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Free article
Review

Ependymoma of conus medullaris presenting as subarachnoid haemorrhage

C T Ulrich et al. Acta Neurochir (Wien). 2008 Feb.
Free article

Abstract

Subarachnoid haemorrhage (SAH) due to spinal ependymoma is very rare. We report a 37 year old man who presented with typical clinical signs of SAH. Lumbar puncture confirmed SAH but cerebral angiography was negative, and further diagnostic work-up revealed an ependymoma of the conus medullaris as the source of the haemorrhage. A comprehensive review of the literature was conducted. Only 17 patients with spontaneous SAH due to a spinal ependymoma have been reported since 1958. However, in cases of SAH and negative diagnostic findings for cerebral aneurysms or malformations, this aetiology should be considered and work-up of the spinal axis completed.

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