Patient: The patient had light to severe weakness in both lower extremities for more than 80 days and numbness from the bottom to the top for more than 60 days, which had reached 2 inches above the navel and was more severe on the right side, with difficulty in urination and defecation. Doctor’s analysis: The patient was clear, the pain below the bilateral rib cage was reduced, and the pain below the bilateral groin disappeared. The muscle strength of the right lower limbs was grade 1, and the muscle strength of the left lower limbs was grade 2. The muscle strength of both upper limbs was normal, and the muscle tone of the right lower limbs was increased. Laboratory and MRI examinations: a small nodular abnormal signal was seen in the central spinal cord in the T6-7 plane, with high signal in T1W, T2W, and STIR, and no enhancement of the nodule and surrounding tissues was seen after enhancement; no expansion of the central canal of the spinal cord, no thickening of the local spinal cord, and no occupying signs in the spinal canal; thickening of the yellow ligament in T2-3; and bulging disc in T7-8. The hospital has been treating neuritis, spinal cord compression, and spinal cord hemorrhage for more than 30 days, but to no avail. Is this a spinal cord hemorrhage? How can I treat it? The clinical symptoms are consistent with the changes caused by spinal cord lesions. Combined with the MRI examination, the possibility of spinal cord hemorrhage is considered to be high. The common causes of hemorrhage are: spinal cord vascular disease (vascular malformation, arteriovenous fistula, etc.), cavernous hemangioma, and other tumor hemorrhage. Because of the limited clarity of the online photos, it is difficult to clarify the exact nature of the lesion. Treatment is currently based on symptomatic treatment, nerve nutrition and prevention of complications. The key etiologic treatment will require further examination to clarify the etiologic diagnosis. Patient: What medications should we use for treatment? We can consider applying hemostatic drugs, dehydration drugs, neurotrophic drugs, etc. (further consultation at the hospital is required). In addition, rehabilitation treatment can be considered. It is recommended that spinal cord angiography (MRA) or angiography (DSA) be done to identify vascular malformations or arteriovenous fistulas (peri-spinal or dural arteriovenous fistulas), and if so, they must be eliminated before the above treatment can be combined to achieve a better outcome. Patient: Can you tell me the names of the drugs used for hemostasis, dehydration, and neurotropics? There are many kinds of hemostatic drugs, dehydration drugs are mainly mannitol and glycerol fructose, and neurotrophic agents are mainly Argentinean “Stijn”, which is more effective than the domestic “nerve growth factor” type, but more expensive. It is important to note that each person has his or her own medication habits and regimen, so the choice of regimen may vary. Please follow the method of your local hospital.