Spinal epidural hematoma
Acute onset of paraplegia for last 7 days. History of term spontaneous vaginal delivery 15 days back. No fever. Total WBC count 7500.
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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.
The patient gradually improved on conservative management over a period of 5 days. No neurological deficit at the last follow-up.