Epidural haematoma

Case contributed by Dr Andrew Lawson

Presentation

Acute paraplegia, warfarin usage

Patient Data

Age: 47
Gender: Male
MRI

Extensive, acute epidural haematoma extending from C3 to T4 compressing the spinal cord. There is increased T2 signal within the cord, likely reflecting cord oedema. 

MRI

Post operative laminectomy demonstrates near complete evacuation with minimal blood product around the T3 level.

Case Discussion

Spontaneous epidural haemorrhage is an uncommon cause of spinal cord compression. There should be a higher index of suspicion in patients who are anticoagulated. 

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Case information

rID: 25170
Case created: 10th Oct 2013
Last edited: 13th Feb 2017
Tag: spine
Inclusion in quiz mode: Included

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