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Journal of Korean Neurosurgical Society 1995;24(3): 317-321.
Spontaneous Lumbar Epidural Hematoma: Case Report.
Seok Mann Yoon, Won Han Shin, Bum Tae Kim, Soon Kwan Choi, Bark Jang Byun
Department of Neurosurgery, College of Medicine, Soonchunhyang University, Seoul, Korea.
ABSTRACT
The authers report a case of spontaneous lumbar epidural hematoma in a 16-year-old boy who developed lumbago, paraparesis and gait disturbance over a six-day period. Metrizamide myelography and CT demonstrated the extradural mass lesion at the L3-4 level. MRI revealed a hyperintense mass on T1-weighted and T2-weighted sequences and it enabled to make diagnosis of epidural hematoma. The patient had full postsurgical recovery. We concludes MRI is the most helpful diagnosis modality for spinal epidural hematoma.
Key Words: Spontaneous lumbar epidural hematoma; MR imaging; Surgical decompression
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