Presentation
Sudden neck and interscapular pain associated with right hemiparesis progressing to quadriparesis. No recent trauma.
Patient Data
Age: 70
Gender: Female
From the case:
Spontaneous cervical epidural hematoma
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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 edema. 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 hematoma. The cord was infarcted on the right.