Spontaneous cervical epidural haematoma

Case contributed by Dr Chris O'Donnell

Presentation

Sudden neck and interscapular pain associated with right hemiparesis progressing to quadriparesis. No recent trauma.

Patient Data

Age: 70
Gender: Female
Modality: MRI

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.

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Case Information

rID: 28430
Case created: 25th Mar 2014
Last edited: 23rd Sep 2015
System: Spine
Tag: spine
Inclusion in quiz mode: Excluded

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