Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
34 topics, 1 hr. 48 min.
Extradural Spine Lesions
7 m.Degenerative Spondylomyelopathy
3 m.Traumatic Lesions of the Spine
6 m.Subdural Hematoma of the Spine
2 m.Epidural Hematoma of the Spine
2 m.Post-operative Hematoma
4 m.Discitis-Osteomyelitis of the Spine
5 m.Discitis-Osteomyelitis with Epidural Phlegmon/Abscess
4 m.Tuberculous Spondylitis
5 m.Discitis-Osteomyelitis with Prevertebral Abscess
2 m.Discitis Osteomyelitis with Anterior Epidural Phlegmon
3 m.Epidural Abscess from Facet Joint Infectious Synovitis
4 m.Paraspinal Abscess with Epidural Extension
3 m.Summary of Extradural Neoplasms
4 m.Lumbar Spine Schwannoma Extending into the Neural Foramen
2 m.Primary Osseous Extradural Neoplasms
8 m.Osteochondroma of the Spine
3 m.Extradural Metastatic Disease
4 m.Chondrosarcoma of the Spine
4 m.Metastatic Disease vs. Multiple Myeloma
3 m.Malignant versus Benign Compression Fractures
7 m.Extramedullary Hematopoiesis of the Epidural Space
3 m.Paraspinal Extramedullary Hematopoiesis
2 m.Multifocal Epidural Extramedullary Hematopoiesis
4 m.Epidural Lipomatosis
3 m.Extradural Congenital Lesions
6 m.Epidermoid Cyst of the Thoracic Spine
3 m.Spinal Congenital Anomalies: Myelomeningoceles
6 m.Cervicothoracic Myelomeningocele
3 m.Recurrent Myelomeningocele and Cord Tethering After Repair
2 m.Diastematomyelia
3 m.Diastematomyelia
3 m.Chronic Inflammatory Demyelinating Polyradiculoneuropathy
3 m.Extradural Processes – Conclusion
3 m.0:00
This was a 33-year-old denizen of Baltimore,
0:04
who got shot in the neck,
0:06
as part of a drug war that was being held
0:11
in East Baltimore, adjacent to Johns Hopkins.
0:14
As we scroll through the scan,
0:17
you'll notice that this is a CTA that was performed to
0:21
look for vascular dissection or vascular injury.
0:24
Secondary to the gunshot wound.
0:26
And you'll see that there is air in the soft tissues
0:29
in the posterior neck from where there had been
0:32
that gunshot wound.
0:34
However, if you look carefully in the spinal canal,
0:38
which I highly recommend, even when you're doing a CTA,
0:41
you'll notice that there is a collection of blood
0:44
that can be seen displacing the thecal sac
0:48
on the right side, and that blood products extends
0:52
into or adjacent to the neural foramen.
0:54
This identifies it as being epidural in location
0:58
rather than a subdural collection,
1:00
displacing the spinal cord to the left.
Interactive Transcript
0:00
This was a 33-year-old denizen of Baltimore,
0:04
who got shot in the neck,
0:06
as part of a drug war that was being held
0:11
in East Baltimore, adjacent to Johns Hopkins.
0:14
As we scroll through the scan,
0:17
you'll notice that this is a CTA that was performed to
0:21
look for vascular dissection or vascular injury.
0:24
Secondary to the gunshot wound.
0:26
And you'll see that there is air in the soft tissues
0:29
in the posterior neck from where there had been
0:32
that gunshot wound.
0:34
However, if you look carefully in the spinal canal,
0:38
which I highly recommend, even when you're doing a CTA,
0:41
you'll notice that there is a collection of blood
0:44
that can be seen displacing the thecal sac
0:48
on the right side, and that blood products extends
0:52
into or adjacent to the neural foramen.
0:54
This identifies it as being epidural in location
0:58
rather than a subdural collection,
1:00
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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