Abstract
We report an unusual case of a patient with an epidural fluid collection with signal characteristics mimicking an epidural hematoma. The patient presented with myelopathy caused by thoracic spinal cord compression after a traumatic injury to the chest and back. The injury was caused by high-pressure injection of industrial-grade lubricant grease. This case demonstrates that cord compression can be caused by exogenous material in the setting of trauma that can mimic an acute epidural hematoma.
Highlights
The evolution of the MR imaging signal intensity characteristics of a spinal epidural hematoma is thought to follow the MR imaging characteristics of a hemorrhage in the brain.[1,2]. This case demonstrates an unusual occurrence in which exogenous fluid mimicked the clinical and radiologic manifestations of early subacute traumatic spinal epidural hemorrhage
Case Report The patient was a 31-year-old man who sustained a traumatic injury to the right neck and right chest wall while trying to repair a pneumatic device on a hydraulic injection instrument of a bulldozer
Imaging plays a crucial role in this diagnosis, and MR imaging is the best tool for evaluation of a potential Traumatic spinal epidural hematomas (TSEHs)
Summary
The evolution of the MR imaging signal intensity characteristics of a spinal epidural hematoma is thought to follow the MR imaging characteristics of a hemorrhage in the brain.[1,2] This case demonstrates an unusual occurrence in which exogenous fluid mimicked the clinical and radiologic manifestations of early subacute traumatic spinal epidural hemorrhage. Case Report The patient was a 31-year-old man who sustained a traumatic injury to the right neck and right chest wall while trying to repair a pneumatic device on a hydraulic injection instrument of a bulldozer.
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