<% strPathPics = Session("strPathPicsL") imgBg = strPathPics + Session("strMedia") %> Epidural Spinal hematoma

Spinal Epidural Hematoma

A 47 year-old man underwent routine lumbar laminectomy for a herniated disk. Following the surgery, he developed progressive weakness and then frank paraplegia and urinary incontinence. On examination, he had a sensory level at L1 and no reflexes in the legs.

Outline the Hematoma                                                               Show the Compressed Cauda Equina

Sagittal MRI of the Thoracic Spine (Left - T1 weighted, Right - T2 weighted).  Note the large lesion extradural lesion which is compressing the thecal sac from L2 through S1. It is iso-intense on T1 and slightly bright on T2. This is an acute epidural hematoma. Subsequently, the patient underwent emergency decompressive surgery

Revised 05/09/06.
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