PMC9897698_01
Long-segment cervicodorsal epidural hemorrhage. A: Sagittal T2 image revealing a long-segment thick sheath of hyperintensity in the posterior epidural space extending from C2 to D7 level (arrows). B: Long-segment thick sheath of hyperintensity in the posterior epidural space extending from C2 to D7 level (arrows). The spinal cord was normal.. C: Axial gradient echo (GRE) sequence showing posterior epidural hypointensity at the C4-C5 level which is mildly compressing and displacing the cord laterally to the right (arrows). Findings are suggestive of long-segment epidural hemorrhage.
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FIG1
The patient was referred for a spine MRI, which showed long-segment spinal epidural hemorrhage in the cervical and dorsal spine (up to D8 level) causing mild to moderate lateral compression and anterior displacement of the cord at these levels (Figures 1, 2).
Axial non-contrast CT image showing epidural hemorrhage in the dorsal spine at D5-D6 and D6-D7 levels (arrows).
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FIG2
The patient was referred for a spine MRI, which showed long-segment spinal epidural hemorrhage in the cervical and dorsal spine (up to D8 level) causing mild to moderate lateral compression and anterior displacement of the cord at these levels (Figures 1, 2).
The MRI and CT images demonstrating subarachnoid hemorrhage in bilateral high parietal lobes (arrows) and also in occipital lobes with subtle dependent hemorrhage in bilateral occipital horns of the lateral ventricle (not shown here).. A: Axial fluid-attenuated inversion recovery image showing sulcal hyperintensities in the bilateral high parietal lobes (arrows). B: Plain CT image showing mild subarachnoid hemorrhage in the bilateral high parietal lobes in the same patient (arrows)
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FIG3
An MRI of the brain was also performed which revealed mild diffuse subarachnoid hemorrhage with subtle dependent hemorrhage in the bilateral occipital horns of the lateral ventricles which correlated with CT (Figure 3).