Abstract

A case of lumbar epidural hematoma is reported. The patient was a fifty-seven years old woman. Her complaint started with lumbago. After three weeks from the onset, thigh pain and numbness appeared.An epidural mass was detected at L4/5 by MR imaging, myelogram and CTM. In MRI imaging, the mass showed low intensity in T1, high intensity in T2 and ringed enhancement effect with Gadolinium.The mass was considered as a synovial cyst or a ganglion by MRI, but histological diagnosis was organizing hematoma.The mass was a subacute hematoma. The intensity of hematoma in MRI is said to be changing with time, thus it is difficult to diagnose epidural hematoma.

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