Clinics in diagnostic imaging (150)
Singapore medical journal
;
: 666-672, 2013.
Article
in English
| WPRIM
| ID: wpr-337825
ABSTRACT
Spontaneous spinal epidural haematoma is a rarely encountered cause of back pain. It often leads to cauda equina syndrome, necessitating emergency spinal surgery. We report the case of a 19-year-old Chinese man who presented with pain in the lower back, which started after he had carried some heavy boxes. He denied a history of fall or trauma. Magnetic resonance (MR) imaging showed a hyperintense biconvex-shaped lesion in the posterior epidural space on both T1- and T2-weighted sequences, diagnostic of a spinal epidural haematoma. The patient, who was admitted and managed conservatively, had gradual resolution of his pain. No neurological deficit was detected on discharge or on follow-up. Repeat MR imaging showed total resolution of the lumbar spinal epidural haematoma. The clinical characteristics, MR imaging features, diagnosis and management of spontaneous spinal epidural haematoma are discussed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Polyradiculopathy
/
Magnetic Resonance Imaging
/
Low Back Pain
/
Hematoma, Epidural, Spinal
/
Diagnosis
/
Edema
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Singapore medical journal
Year:
2013
Type:
Article
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