Spontaneous cervical epidural haematoma
Sudden neck and interscapular pain associated with right hemiparesis progressing to quadriparesis. No recent trauma.
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An extradural, heterogeneous mass extending from C2 to C7 on the right compresses the cervical cord causing subtle T2 brighteneing indicative of oedema. Note mass is not T1 hyperintense (3T magnet) rather isointense to cord but is of low signal intensity on gradient echo indicating magnetic susceptibility. Patient taken to urgent surgery, decompressed and drained, but persistently quadriparetic. At autopsy a vascular malformation was identified in the dura at the site of haematoma. The cord was infarcted on the right.
- Spontaneous cervical epidural hematoma: Report of a case managed conservativelyTariq Abdul Halim, Vishal Nigam, Vikas Tandon, and HS Chhabra Indian J Orthop. 2008 Jul-Sep; 42(3): 357–359. doi: 10.4103/0019-5413.41863