Epidural haematoma - thoracic spine
Case contributed by:
Dr Frank Gaillard
Presentation:
This elderly patient woke from a laparotomy (for resection of a colonic malignancy) paraplegic.
Patient Data:
Age: 70 years
Gender: Female
Race: Caucasian
CT chest demonstrates a hyperdense extradural collection within the spinal canal. Left sided pleural catheter and bilateral pleural collections are present.
From the case:
Epidural haematoma - thoracic spine
Modality:
MRI
MRI demonstrates a large extradural collection which has intermediate signal on T1 weighted images, with some regions of intrinsic higher signal, heterogeneous T2 signal with fluid-fluid levels and peripheral signal drop out, best seen on STIR. Features are consistent with a spinal epidural haematoma.
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