PMC6751849_01
a Pre-operative sagittal T2-weighted MRI of the cervical spine demonstrates an epidural hematoma (arrows) with the cranial extent at the C6/7 level. The hematoma is mixed signal intensity, consistent with various stages of bleeding. Severe spinal cord (asterisk) compression is present at the C7 level. b Pre-operative axial T2-weighted MRI at the C7 level demonstrates a loculated epidural hematoma (arrow) compressing the spinal cord (asterisk). Due to the urgent nature of the MRI, image quality is degraded
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Fig1
Urgent magnetic resonance imaging (MRI) of the cervical and thoracic spine demonstrated multilevel SEH from the lower cervical to thoracic spine (Fig. 1).
Post-operative sagittal T2-weighted MRI of the cervical spine demonstrates resolution of the epidural hematoma with decompression of the spinal cord (asterisk) at the C7 level. There has been restoration of normal spinal canal volume and there is no evidence of residual cord compression or myelomalacia. Note the absent visualization of the C7, T1, T2, and T3 spinous processes. The patient had partial C7, complete T1 and T2, and partial T3 laminectomy for decompression and hematoma evacuation
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Fig2
Post-operative MRI showed resolution of the SEH and cord compression without resultant cord damage (Fig. 2).