Spontaneous spinal epidural hematoma

Case contributed by Dr Praveen Jha

Presentation

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

Patient Data

Age: 25 years
Gender: Male
MRI

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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Case information

rID: 19400
Published: 5th Sep 2012
Last edited: 21st Dec 2019
Inclusion in quiz mode: Included

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