Accepted Manuscript Spontaneous Thoracic Epidural Hematoma Mimicking Spinal Mass Sema Yildiz, MD Dilek Sen Dokumaci, MD Nurefsan Boyacı, MD Nihat Kiliçaslan, MD PII:
S1529-9430(14)00375-1
DOI:
10.1016/j.spinee.2014.03.052
Reference:
SPINEE 55850
To appear in:
The Spine Journal
Received Date: 26 February 2014 Accepted Date: 8 March 2014
Please cite this article as: Yildiz S, Dokumaci DS, Boyacı N, Kiliçaslan N, Spontaneous Thoracic Epidural Hematoma Mimicking Spinal Mass, The Spine Journal (2014), doi: 10.1016/ j.spinee.2014.03.052. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Spontaneous Thoracic Epidural Hematoma Mimicking Spinal Mass
Sema Yildiz MD1, Dilek Sen Dokumaci MD1, Nurefsan Boyacı MD1, Nihat Kiliçaslan
RI PT
MD1
1
Harran University School of Medicine, Department of Radiology, 63100, Sanliurfa,
M AN U
SC
Turkey
Corresponding author
TE D
Dr. Sema Yildiz
Harran University School of Medicine, Department of Radiology 63100, Sanliurfa, TURKEY
EP
Tel: +90-414-3163963
Fax: +90-414-315 11 81
AC C
E-mail: drsemayildiz@ yahoo.com
1
ACCEPTED MANUSCRIPT A-8-year- old girl was admitted to our hospital complaining of acute back pain, paraparesis,
2
and urinary incontinence. She had no significant property at her history. At physical
3
examination, bilateral lower extremity paraplegia was noticed, and magnetic resonance (MR)
4
imaging was performed. On spinal MR images, a well circumscribed, epidural localized,
5
10x32mm- mass like lesion compressing the spinal cord anterolaterally was noted at the level
6
between T2 and T4 vertabrae. The mass was heterogeneous isointense to spinal cord with
7
peripheral contrast enhancement on T1-weighted MR images (Fig.1A,B), hypointense on T2-
8
weighted MR images (Fig.1C). The patient was operated, and epidural hematoma was drained
9
surgically. The diagnosis of hematoma was confirmed pathologically. The patient was doing
11
12
TE D
13
14
18
19
20
21
AC C
17
EP
15
16
SC
well after three months from the operation.
M AN U
10
RI PT
1
2
ACCEPTED MANUSCRIPT Figure Legend
2
A well circumscribed, epidural localized, isointense mass like hematoma, with peripheral
3
enhancement is seen on sagittal T1 weighted (A,B), hypointense on T2 weighted MR images
4
(C). The hematoma compresses the spinal cord anterolaterally at the level between T2 and T4
5
vertabrae.
AC C
EP
TE D
M AN U
SC
RI PT
1
AC C
EP
TE D
M AN U
SC
RI PT
ACCEPTED MANUSCRIPT
S1529-9430(14)00375-1
DOI:
10.1016/j.spinee.2014.03.052
Reference:
SPINEE 55850
To appear in:
The Spine Journal
Received Date: 26 February 2014 Accepted Date: 8 March 2014
Please cite this article as: Yildiz S, Dokumaci DS, Boyacı N, Kiliçaslan N, Spontaneous Thoracic Epidural Hematoma Mimicking Spinal Mass, The Spine Journal (2014), doi: 10.1016/ j.spinee.2014.03.052. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT Spontaneous Thoracic Epidural Hematoma Mimicking Spinal Mass
Sema Yildiz MD1, Dilek Sen Dokumaci MD1, Nurefsan Boyacı MD1, Nihat Kiliçaslan
RI PT
MD1
1
Harran University School of Medicine, Department of Radiology, 63100, Sanliurfa,
M AN U
SC
Turkey
Corresponding author
TE D
Dr. Sema Yildiz
Harran University School of Medicine, Department of Radiology 63100, Sanliurfa, TURKEY
EP
Tel: +90-414-3163963
Fax: +90-414-315 11 81
AC C
E-mail: drsemayildiz@ yahoo.com
1
ACCEPTED MANUSCRIPT A-8-year- old girl was admitted to our hospital complaining of acute back pain, paraparesis,
2
and urinary incontinence. She had no significant property at her history. At physical
3
examination, bilateral lower extremity paraplegia was noticed, and magnetic resonance (MR)
4
imaging was performed. On spinal MR images, a well circumscribed, epidural localized,
5
10x32mm- mass like lesion compressing the spinal cord anterolaterally was noted at the level
6
between T2 and T4 vertabrae. The mass was heterogeneous isointense to spinal cord with
7
peripheral contrast enhancement on T1-weighted MR images (Fig.1A,B), hypointense on T2-
8
weighted MR images (Fig.1C). The patient was operated, and epidural hematoma was drained
9
surgically. The diagnosis of hematoma was confirmed pathologically. The patient was doing
11
12
TE D
13
14
18
19
20
21
AC C
17
EP
15
16
SC
well after three months from the operation.
M AN U
10
RI PT
1
2
ACCEPTED MANUSCRIPT Figure Legend
2
A well circumscribed, epidural localized, isointense mass like hematoma, with peripheral
3
enhancement is seen on sagittal T1 weighted (A,B), hypointense on T2 weighted MR images
4
(C). The hematoma compresses the spinal cord anterolaterally at the level between T2 and T4
5
vertabrae.
AC C
EP
TE D
M AN U
SC
RI PT
1
AC C
EP
TE D
M AN U
SC
RI PT
ACCEPTED MANUSCRIPT
