Clinics in diagnostic imaging (150).
- Author:
Nor Azam MAHMUD
1
;
Dinesh R SINGH
1
;
Steven B S WONG
1
;
Wilfred C G PEH
1
Author Information
1. Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Alexandra Health, 90 Yishun Central, Singapore 768828. wilfred.peh@gmail.com.
- Publication Type:Case Reports
- MeSH:
Adult;
Edema;
diagnosis;
pathology;
Female;
Hematoma, Epidural, Spinal;
diagnosis;
pathology;
Humans;
Low Back Pain;
diagnosis;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Polyradiculopathy;
diagnosis;
Young Adult
- From:Singapore medical journal
2013;54(12):666-672
- CountrySingapore
- Language:English
-
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.