EURORAD ESR

Case 2954

Spinal epidural haematoma

Author(s)
Poels JAD, Sathyanarayana R
 
Patient
female, 68 year(s)
 
 
  • Published 15.12.2005
  • DOI 10.1594/EURORAD/CASE.2954
  • Section Neuroradiology
  • Case Type Clinical Cases
  • Difficulty Resident
  • Views 2889
  • Language(s)
  • Figure 1
     

    A T2-weighted sagittal image of the lumbar spine. The arrow head marks the lower extent of the haematoma with the cauda equina anterior to it. The black arrow indicates haematoma and the white arrow indicates the...

     
    Area of Interest: unknown;

    A T2-weighted sagittal image of the lower thoracic spine. The arrow head indicates the upper part of the fresh haematoma. Cranial to this arrow head and dorsal to the cord is a region of mixed signal, which may...

     
    Area of Interest: unknown;

    A T2-weighted axial image at the level of L1. The cord (white arrow) is compressed ventral in the spinal canal by haematoma lying dorsal to it (black arrow).

     
    Area of Interest: unknown;

    A T2-weighted axial image at the level of T6. An area of mixed signal (white arrow) is dorsal to the cord (black arrow). This may represent older thrombus. The cord is not as compressed as seen in Fig. 1b at L1 level.

     
    Area of Interest: unknown;
     
     
  • Figure 2
     

    A T1-weighted sagittal image of the lumbar spine. The T1 signal characteristic of the haematoma (dorsal white arrow) is in between (black arrow).

     
    Area of Interest: unknown;

    A T1-weighted sagittal image of the lower thoracic spine. The compressing thrombus extends cranially as far as the arrow head, dorsal to the cord. Cranial to this is a region of non-homogenous higher signal, which may...

     
    Area of Interest: unknown;
     
     
  • Figure 3

    STIR sagittal image of the lumbar spine. The STIR signal of the thrombus (arrow) is high.

     
    Area of Interest: unknown;
     
     
A T2-weighted sagittal image of the lumbar spine. The arrow head marks the lower extent of the haematoma with the cauda equina anterior to it. The black arrow indicates haematoma and the white arrow indicates the compressed conus.
 
A T2-weighted sagittal image of the lower thoracic spine. The arrow head indicates the upper part of the fresh haematoma. Cranial to this arrow head and dorsal to the cord is a region of mixed signal, which may represent an extension of the haematoma or older thrombus.
 
A T2-weighted axial image at the level of L1. The cord (white arrow) is compressed ventral in the spinal canal by haematoma lying dorsal to it (black arrow).
 
A T2-weighted axial image at the level of T6. An area of mixed signal (white arrow) is dorsal to the cord (black arrow). This may represent older thrombus. The cord is not as compressed as seen in Fig. 1b at L1 level.
 
A T1-weighted sagittal image of the lumbar spine. The T1 signal characteristic of the haematoma (dorsal white arrow) is in between (black arrow).
 
A T1-weighted sagittal image of the lower thoracic spine. The compressing thrombus extends cranially as far as the arrow head, dorsal to the cord. Cranial to this is a region of non-homogenous higher signal, which may be an older thrombus.
 
STIR sagittal image of the lumbar spine. The STIR signal of the thrombus (arrow) is high.
 
 
 
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