PMC8168654_01
Sagittal (a), axial (b) T1-weighted cervicothoracic spine MRI images and axial brain MRI (c) documented an anterior spinal cervicothoracic and clival epidural hyperintensity and hypointensity in sagittal (d) and axial (e) T2-weighted sequences with maximum spinal compression at Th1-Th2 level and extension to Th6. T1-weighted Gd-enhanced MRI sequences (f) also showed a peripheral epidural and meningeal contrast enhancement.
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F1
Further, T1-weighted Gd-enhanced MRI sequences confirmed peripheral epidural and meningeal contrast enhancement consistent with the diagnosis of a SSEH [Figure 1].
Sagittal T1-weighted (a) and sagittal T2-weighted (b) cervicothoracic spine MRI with extension to the craniovertebral junction showing an almost total reduction of epidural hematoma.
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F2
Notably, the cervico/thoracic spine MRI repeated 14 days later showed a progressive SSEH reduction; this also correlated with near-complete pain regression [Figure 2].