J Korean Neurosurg Soc.  1995 Mar;24(3):317-321.

Spontaneous Lumbar Epidural Hematoma: Case Report

Affiliations
  • 1Department of Neurosurgery, College of Medicine, Soonchunhyang University, Seoul, Korea.

Abstract

The authers report a case of spontaneous lumbar epidural hematoma in a 16-year-old boy who developed lumbago, paraparesis and gait disturbance over a six-day period. Metrizamide myelography and CT demonstrated the extradural mass lesion at the L3-4 level. MRI revealed a hyperintense mass on T1-weighted and T2-weighted sequences and it enabled to make diagnosis of epidural hematoma. The patient had full postsurgical recovery. We concludes MRI is the most helpful diagnosis modality for spinal epidural hematoma.

Keyword

Spontaneous lumbar epidural hematoma; MR imaging; Surgical decompression

MeSH Terms

Adolescent
Decompression, Surgical
Diagnosis
Gait
Hematoma*
Hematoma, Epidural, Spinal
Humans
Low Back Pain
Magnetic Resonance Imaging
Male
Metrizamide
Myelography
Paraparesis
Metrizamide
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