PT - JOURNAL ARTICLE AU - Alia Hdeib AU - C. Rory Goodwin AU - Daniel Sciubba AU - Ali Bydon AU - Jean-Paul Wolinsky AU - Timothy Witham AU - Ziya L. Gokaslan TI - Hemorrhagic thoracic schwannoma presenting with intradural hematoma and acute paraplegia after spinal manipulation therapy AID - 10.14444/3042 DP - 2016 Jan 01 TA - International Journal of Spine Surgery PG - 42 VI - 10 4099 - http://ijssurgery.com//content/10/42.short 4100 - http://ijssurgery.com//content/10/42.full SO - Int J Spine Surg2016 Jan 01; 10 AB - Hemorrhagic conversion of spinal schwannomas represents a rare occurrence; also rare is the development of a spinal intradural hematoma after spinal manipulation therapy. We report a unique presentation of paraplegia in a patient who underwent spinal manipulation therapy and was found to have a hemorrhagic thoracic schwannoma at time of surgery in the setting of anti-platelet therapy use. In patients with spinal schwannomas, tumor hemorrhage is a rare occasion, which can be considered in the setting of additive effects of spinal manipulation therapy and antiplatelet therapy.