Transient edema of the spinal cord as a result of spontaneous acute epidural hematoma in the thoracic spine

被引:3
作者
Gonzalez C.M. [1 ]
Matheus G. [1 ]
Solander S. [1 ]
Castillo M. [1 ,2 ]
机构
[1] Univ. of N. Carolina Sch. of Med., Department of Radiology, Chapel Hill
[2] CB 7510, UNC-CH Radiology, Chapel Hill
关键词
Edema; Epidural hematoma; Spinal cord;
D O I
10.1007/s10140-004-0359-y
中图分类号
学科分类号
摘要
We present an unusual case of spontaneous epidural hemorrhage in the thoracic spine resulting in rapid onset of transient and extensive edema in the spinal cord. The patient presented with acute onset of midscapular back pain, bilateral lower extremity weakness, and bladder dysfunction. Repeat MRI 20 days after decompression of the hematoma showed residual hematoma and complete resolution of the spinal cord edema. The implications and differential diagnosis of spinal cord edema in this clinical setting are discussed.
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收藏
页码:53 / 55
页数:2
相关论文
共 12 条
[1]  
Baleriaux D., Parizel P., Bank W., Intraspinal and intramedullary pathology, Imaging of the Spine and Spinal Cord, pp. 557-559, (1992)
[2]  
Enzmann D., Vascular diseases, Magnetic Resonance of the Spine, pp. 527-532, (1990)
[3]  
Flanders A., Croul S., Spinal trauma, Magnetic Resonance Imaging of the Brain and Spine, 3rd Edn., pp. 1769-1823, (2002)
[4]  
Ovul I., Oner K., Spontaneous cervical spinal epidural hematoma with spontaneous resolution and complete recovery without surgical decompression, Norol Bil D, 16, 2, pp. 2-8, (1999)
[5]  
Tuzgen S., Kaya A., Sanus G., Akar Z., Acute spontaneous spinal epidural hematoma, Norol Bil D, 19, 4, pp. 4-7, (2002)
[6]  
Romero C., Lambre H., Martinez A., Meli F., Trejo M., Yanez P., Compresion medular postraumatica por hematoma raquideo epidural agudo, Diagnostico, 10, pp. 1-6, (2001)
[7]  
Sartoretti-Schefer S., Kollias S., Valavanis A., Transient oedema of the cervical spinal cord, Neuroradiology, 42, pp. 280-284, (2000)
[8]  
Lee J., Koyanagi I., Hida K., Seki T., Iwasaki Y., Mitsumori K., Spinal cord edema: Unusual magnetic imaging findings in cervical spondylosis, J Neurosurg, 99, pp. 8-13, (2003)
[9]  
Levy E., Heiss J., Kent M., Riedel C., Oldfield E., Spinal cord swelling preceding syrinx development, J Neurosurg (Spine), 92, pp. 93-97, (2000)
[10]  
Dorsay T.A., Helms C.A., MR imaging of epidural hematoma in the lumbar spine, Skeletal Radiol, 31, pp. 677-685, (2002)