Acute epidural spinal hemorrhage from vasculitis: Resolution with immunosuppression

Jeffrey T. Jacob, Shota Tanaka, Christopher P. Wood, Eelco F. Wijdicks, Giuseppe Lanzino

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Background Angiographic vasculitis affecting the spine has been rarely described. The use of immunosuppression as a primary treatment and a review of the literature is presented. Methods Case report. Results A 61-year-old female presented with sudden onset back pain and headache. The patient was found to have acute spinal epidural hemorrhage and subsequent work-up demonstrated angiographic spinal vasculitis. Immunosuppression with cyclophosphamide resulted in clinical and radiographic improvement. Conclusions Immunomodulating therapy should be considered in the management of select patients with spinal vasculitis which may lead to improved clinical outcome and potentially disease resolution.

Original languageEnglish (US)
Pages (from-to)311-315
Number of pages5
JournalNeurocritical care
Issue number2
StatePublished - Apr 2012


  • Spinal aneurysm
  • Spinal vasculitis
  • Subarachnoid hemorrhage

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Clinical Neurology


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