Spontaneous spinal epidural hematoma

Case contributed by Praveen Jha
Diagnosis certain


Acute onset paraplegia since the last two days. No history of trauma, fever or any previous episode.

Patient Data

Age: 25 years
Gender: Male

Cervical spine


A posterior epidural lesion appearing isointense on T1W, markedly hypointense on T2W images, and areas of 'blooming' on GRE images is seen. Peripheral contrast enhancement may be due to dural inflammation secondary to hematoma.

Case Discussion

This is a case of spontaneous epidural hematoma in the cervical spine.

Drainage of hematoma was done promptly, and the patient recovered on post-operation Day 1.

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