Spinal epidural hematoma

Case contributed by Dr Paresh K Desai


Young female; history of term spontaneous vaginal delivery 15 days back, with acute onset paraplegia for last 7 days. No fever. Total WBC count 7500.

Patient Data

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: 13th Aug 2019
Tag: spine
Inclusion in quiz mode: Included

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