Drugs include baclofen, tizanidine, and diazepam. Pain following spinal cord hemorrhage, other than pain directly secondary to spasticity, is treated similarly to neuropathic pain syndromes secondary to multiple sclerosis. Drugs include gabapentin, amitriptyline, and carbamazepine. Bladder complications of spinal cord hemorrhage are similar to those of spinal cord injury or multiple sclerosis. Consultation with a urologist may be necessary.
Prognosis varies but generally is correlated with severity of deficit.
A more favorable outcome is seen in patients receiving prompt diagnosis and surgical intervention. T2-weighted sagittal MRI of the cervical spine shows mixed signal intensity within the spinal cord consistent with posttraumatic intramedullary hemorrhage. The hypointensity reflects deoxyhemoglobin and the hyperintensity reflects either early hemorrhage or edema. There is also distraction of the C 6 vertebral body from C 7 with extensive ligamentous injury. Spinal cord vascular disease.