PMC5735427_01
(a) Lumbar plain MRI depicts a large intraspinal hematoma which extends from T11 down to L5 with severe neural compromise. (b) Intraoperative exploration after T11-L3 laminectomy and evacuation of spinal epidural hematoma (not shown in this photo). (c) Giant spinal subdural hematoma was noticed post midline durotomy. (d) Incision of the arachnoid layer was done due to evidence of large subarachnoid clots which were retrieved successfully. (e) Multiple large and thick spinal hematomas from subdural and subarachnoid spaces
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F1
As bilateral numbness developed, an MRI spine was ordered and a diagnosis of spinal hematoma was made [Figure 1]. Intraoperatively, the conus medullaris and cauda equina were severely compressed from multi-compartmental hemorrhages with the largest one within the subdural space [Figure 1].