J Korean Neurosurg Soc.  2013 Jul;54(1):58-60. 10.3340/jkns.2013.54.1.58.

Spinal Subarachnoid Hematoma as a Complication of an Intramuscular Stimulation : Case Report and a Review of Literatures

• Lee MJ
• Chung YS

• KMID: 2190861
• DOI: http://doi.org/10.3340/jkns.2013.54.1.58

Abstract

Intramuscular stimulation (IMS) is widely used to treat myofascial pain syndrome. IMS is a safe procedure but several complications have been described. To our knowledge, spinal subarachnoid hematoma has never been reported as a complication of an IMS. The authors have experienced a case of spinal subarachnoid hematoma occurring after an IMS, which was tentatively diagnosed as intracranial subarachnoid hemorrhage because of severe headache. Patient was successfully treated with surgery. Here, we report our case with a review of literature.

Keyword

Intramuscular stimulation; Intraspinal subarachnoid hematoma

MeSH Terms

Headache
Hematoma
Humans
Myofascial Pain Syndromes
Subarachnoid Hemorrhage

Figure

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  Fig. 1 Sagittal (A) and axial (B) thoracolumbar spine MRI showing a fusiform-shaped intraspinal subarachnoid hematoma from T11 to L1.

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  Fig. 2 An intraoperative microscopic image showing an intraspinal subarachnoid hematoma after laminectomy (arrows).

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