Spinal epidural hematoma

Case contributed by Dr Paresh K Desai


Acute onset of paraplegia for last 7 days. History of term spontaneous vaginal delivery 15 days back. No fever. Total WBC count 7500.

Patient Data

Age: Young
Gender: Female

MRI done on the 7th day from symptom onset reveals posterior epidural region collection of the cervical spinal canal. Hyperintense on T2, isointense on T1 rim enhancement on gadolinium injection and blooming on Gradient Echo sequences.

Diagnosis: Spinal epidural hematoma.

Case Discussion

The patient gradually improved on conservative management over a period of 5 days. No neurological deficit at the last follow-up.

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Case information

rID: 10908
Published: 30th Sep 2010
Last edited: 19th Feb 2020
Tag: spine
Inclusion in quiz mode: Included

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