Article

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

University of North Carolina School of Medicine, Department of Radiology, Chapel Hill, NC 27599, USA.
Emergency Radiology 09/2004; 11(1):53-5. DOI:10.1007/s10140-004-0359-y pp.53-5
Source: PubMed

ABSTRACT 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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Keywords

acute onset
 
bilateral lower extremity weakness
 
bladder dysfunction
 
rapid onset
 
Repeat MRI 20 days
 
residual hematoma
 
spinal cord
 
spinal cord edema
 
spontaneous epidural hemorrhage
 
thoracic spine
 
transient
 
unusual case