AI Article Synopsis

  • A 64-year-old woman experienced sudden quadriparesis and neck pain, leading to her admission to the hospital.
  • An MRI performed 15 hours after her symptoms began showed no clear changes on T1 or T2 images, but fat suppression imaging revealed an acute cervical epidural hematoma between the C4 and C5 vertebrae.
  • Her symptoms resolved spontaneously over a week, and while MRI can be useful for detecting epidural hematomas, the authors recommend using fat suppression techniques for clearer visualization in acute cases.

Article Abstract

We report a case of acute cervical epidural hematoma clearly demonstrated by fat suppression MR image. A 64-year-old woman was admitted because of quadriparesis with neck pain, both occurred suddenly. She had been healthy except for mild hypertension. No drug was administrated previously. Neurological examination suggested cervical myelopathy. MRI of the cervical spine was performed fifteen hours after the onset. Although no significant intensity change was observed on T1 or T2 image, fat suppression image clearly demonstrated epidural hematoma at the level of C4 to C5 cervical spine. Her symptoms were disappeared spontaneously within seven days. No vascular abnormality was observed by MR angiography. Although MRI is useful to detect epidural hematoma, signal intensity of the hematoma on T1 and T2 image may be unclear within 24 hours, which was shown in our case. We recommend that fat suppression image is helpful to detect epidural hematoma clearly, especially in acute phase.

Download full-text PDF

Source

Publication Analysis

Top Keywords

epidural hematoma
20
fat suppression
16
hematoma clearly
12
clearly demonstrated
12
suppression image
12
demonstrated fat
8
cervical spine
8
detect epidural
8
hematoma
6
image
5

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!