A 57-year-old female presenting with acute-onset paraplegia was referred for magnetic resonance imaging (MRI) of cervico-dorsal spine. On MRI, multiple tortuous dilated vessels were noted in the epidural space with long segment cord compression and imaging features of compressive myelopathy. Associated small acute cervico-dorsal epidural hematoma was also noted in the same region. Computed tomo...

Epidural anesthesia is one of the preferred modes of analgesia intra- and postoperative in limb surgery. Although considered very safe, serious complications can occur with 0.1-1 per 10,000 epidural injections. We present a case of a patient who experienced an acute lumbar epidural hematoma after epidural anesthesia.

introduction spontaneous spinal epidural hematoma (sseh) is an uncommon but potentially fatal condition. the increased bleeding tendency associated with anticoagulant medications has been proven to increase the risk of sseh. the symptoms of sseh usually begin with sudden severe neck or back pain and are followed by neurological deficits. however, some cases present with only axial pain or with ...

This report involves a 74-year-old-male who developed a thoracic epidural hematoma with paraparesis on the second postoperative day in conjunction with thoracic epidural anesthesia established before surgery for acute abdominal aortic dissection. The finding indicates that laminectomy can be performed successfully as late as three days after diagnosis of the hematoma, with a complete restitutio...

We describe a case of acute lumbar epidural hematoma at the L2-3 level complicated by paraplegia, which occurred after coagulation disorder because of massive bleeding intraoperatively in cesarean section. The preoperative coagulation laboratory finding was in normal range and so we tried combined spinal epidural anesthesia. Uterine atony occurred in the operation, and there was persistant blee...

Even if the visual impression of the photographic density of the brain in head CT images is shown as physically the same, it is known that optical illusions of lightness perception (assimilation, contrast, picture frame effect, etc.) occur and that practical density can be observed psychologically differently, according to differences in the color of the skull and background, and differences in...

Spontaneous spinal epidural hematoma (SEH) is described as a spontaneous collection of blood in the spinal epidural space and often causes devastating sequelae unless it is diagnosed in time and effectively managed. Incidence rate is estimated at 0.1 per 100,000 individuals. Studies show that most cases occur in >40 year-olds (1, 2). Ethiopathogenesis is usually related to neoplasms, coagulopat...

Spinal epidural hematoma, a potentially devastating problem, requires rapid diagnosis and urgent surgical intervention. Two types of spinal epidural hematoma have been described in the literature: traumatic and nontraumatic.1 Traumatic spinal epidural hematoma has been attributed to spine surgery,2 epidural catheter placement,3 lumbar puncture,4 and chiropractic manipulation.5 Nontraumatic, or ...

2. Ganz JC. The lucid interval associated with epidural bleeding: evolving understanding. J Neurosurg. 2013;118:739-45. 3. Malik NK, Makhdoomi R, Indira B, Shankar S, Sastry K. Posterior fossa extradural hematoma: our experience and review of the literature. Surg Neurol. 2007;68:155-8. 4. Su T, Lee T, Lee T, Cheng C, Lu C. Acute Clinical Deterioration of posterior fossa epidural hematoma: Clini...

The MR finding of an acute spinal epidural hematoma (SEH) can mimic epidural neoplastic or inflammatory lesions, because acute SEH appears hypointense on T1-weighted images and hyperintense on T2-weighted images. We report on two cases of acute SEH with unusual contrast enhancement patterns on MR images. Contrast enhancement can be an MR finding of acute SEH, especially in bleeding diathesis, w...