Spinal neuropathic osteoarthropathy (Charcot) disease resulting in a traumatic subarachnoid haemorrhage

A 36-year-old man presented with progressive thoracic deformity, a short history of headaches and visual impairment. Investigations revealed a unique case of spinal subarachnoid haemorrhage (sSAH) in a patient with spinal neuropathic osteoarthropathy. We discuss the imaging findings, major radiological differential diagnoses and discuss the possible mechanisms for sSAH.