Spontaneous spinal epidural hematoma

Case contributed by Rodrigo Dias Duarte
Diagnosis certain

Presentation

Sudden back pain, bilateral lower extremity paresthesias, unsteady gait. No trauma.

Patient Data

Age: 55
Gender: Female

A posterior epidural lesion isointense on T1W, hypointense on T2W, compressing the thecal sac and spinal cord at T7 level is seen.

Case Discussion

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

There was progressive resolution of the hematoma and the patient became asymptomatic.

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