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Age: 78

Sex: Male

Indication: Fall, lower extremity weakness

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Case #30


Findings

  • No acute fracture or traumatic malalignment
  • Circumferential epidural hematoma extending from the foramen magnum at least through the level of C5 with evaluation below the level of C5 limited by attenuation artifact from the shoulders
  • Resultant multilevel crowding of the spinal canal with areas of cord deformity, most notably along the left ventral aspect of the cord at the level of C3
  • Trace anterolisthesis of C5 on C6, likely degenerative in etiology
  • Multilevel advanced cervical spondylosis and facet joint arthrosis
  • Osteopenia


Diagnosis

  • Spinal epidural hematoma

Sample Report

No acute fracture or traumatic malalignment

Circumferential epidural hematoma extending from the foramen magnum at least through the level of C5 with evaluation below the level of C5 limited by attenuation artifact from the shoulders. Resultant multilevel crowding of the spinal canal with areas of cord deformity, most notably along the left ventral aspect of the cord at the level of C3. MRI could further evaluate for associated cord or ligamentous injury if clinically indicated.


Discussion

  • Epidural collections are often subtle findings on CT, but are clinically important



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