Epidural haematoma - thoracic spine

Case contributed by A.Prof Frank Gaillard


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

Patient Data

Age: 70 years
Gender: Female

CT chest

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

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.  

PlayAdd to Share

Case information

rID: 13932
Published: 1st Jun 2011
Last edited: 16th Jul 2018
Tag: spine
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.