Epidural haematoma - thoracic spine

Case contributed by A.Prof Frank Gaillard

Presentation

This elderly patient woke from a laparotomy (for resection of a colonic malignancy) paraplegic.

Patient Data

Age: 70 years
Gender: Female

CT chest

Modality: CT

CT chest demonstrates a hyperdense extradural collection within the spinal canal. Left sided pleural catheter and bilateral pleural collections are present. 

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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Case Information

rID: 13932
Case created: 1st Jun 2011
Last edited: 5th Mar 2016
Tag: spine
Inclusion in quiz mode: Included

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