Spinal epidural hematoma

Case contributed by Dr Paresh K Desai

Presentation

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
Modality: MRI

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Case Discussion

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

Spinal epidural hematoma.

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

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Case Information

rID: 10908
Case created: 30th Sep 2010
Last edited: 19th Dec 2015
Tag: spine
Inclusion in quiz mode: Included

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