Contrast enhancement patterns of acute spinal epidural hematomas: a report of two cases.

Abstract

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, which indicates an active lesion that needs early diagnosis and management.

• Authors: Feng-Chi Chang, Jiing-Feng Lirng, Shing-Su Chen, Chao-Bao Luo, Wan-You Guo, Michael Mu Huo Teng, Cheng-Yen Chang
• Journal: AJNR. American journal of neuroradiology (AJNR Am J Neuroradiol) Vol. 24 Issue 3 Pg. 366-9 (Mar 2003) ISSN: 0195-6108 [Print] United States
• PMID: 12637283 (Publication Type: Case Reports, Journal Article)

Chemical References

• Contrast Media

Topics

• Acute Disease
• Aged
• Aged, 80 and over
• Cervical Vertebrae (pathology)
• Contrast Media (administration & dosage)
• Diagnosis, Differential
• Female
• Hematoma, Epidural, Cranial (diagnosis, etiology)
• Humans
• Image Enhancement
• Lumbar Vertebrae (pathology)
• Magnetic Resonance Imaging
• Male
• Neurologic Examination
• Spinal Cord (pathology)
• Spinal Cord Compression (diagnosis)
• Thoracic Vertebrae (pathology)