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Epidural Hematoma of the Spine

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This was a 33-year-old denizen of Baltimore,

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who got shot in the neck,

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as part of a drug war that was being held

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in East Baltimore, adjacent to Johns Hopkins.

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As we scroll through the scan,

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you'll notice that this is a CTA that was performed to

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look for vascular dissection or vascular injury.

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Secondary to the gunshot wound.

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And you'll see that there is air in the soft tissues

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in the posterior neck from where there had been

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that gunshot wound.

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However, if you look carefully in the spinal canal,

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which I highly recommend, even when you're doing a CTA,

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you'll notice that there is a collection of blood

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that can be seen displacing the thecal sac

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on the right side, and that blood products extends

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into or adjacent to the neural foramen.

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This identifies it as being epidural in location

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rather than a subdural collection,

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displacing the spinal cord to the left.

Report

Description

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Trauma

Spine

Neuroradiology

Musculoskeletal (MSK)

CT

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