PMC5009572_01
Lumbar puncture under fluoroscopy with needle placement in the L4-L5 space (top). Magnetic resonance imaging lumbar spine T2-weighted sequences demonstrating presurgical hematoma (bottom-left), postlaminectomy (bottom-middle), and at 5 months postlaminectomy (bottom-right)
SNI-7-581-g001.jpg
PMC5009572_01_SNI-7-581-g001.jpg
F1
Magnetic resonance imaging (MRI) of the lumbar spine with and without gadolinium contrast demonstrated an intrathecal subarachnoid and subdural hematoma extending from L3 through the sacral levels [Figure 1].
PMC5009572_02
Magnetic resonance imaging cervical/thoracic spine T2-weighted sequences (above), magnetic resonance imaging lumbar spine T2-weighted sequences (below) demonstrating presurgical hematoma (left), postlaminectomy (middle), and at 6 months postlaminectomy (right)
SNI-7-581-g002.jpg
PMC5009572_02_SNI-7-581-g002.jpg
F2
MRI performed at 3 weeks after symptom onset demonstrated a large subdural hematoma spanning from T7 to the sacrum, which exerted a considerable mass effect on the thoracic cord and cauda equina [Figure 2].