PMC6247676_01
(a, b) MRI images at 14 hours postpartum showing a spinal epidural hematoma measuring 3.5 cm x 0.4 cm. There is also spinal stenosis at T5-T6 due to extrinsic mass effect of the epidural hemorrhage.
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T5-T6 due to extrinsic mass effect of the epidural hemorrhage but no direct spinal cord compression (Figures 1(a) and 1(b)). The patient was immediately started on IV dexamethasone 4 mg q6h.
MRI T2 sagittal view of epidural blood collection which has decreased in size to 2-3 mm.
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Diffusion-weighted imaging of the spine later that day showed an epidural lesion with a hemosiderin ring that had decreased in size to 2-3 mm in maximal depth, suggestive of a resolving epidural hematoma when compared to the most recent MRI (Figure 2).
MRI at 6 weeks postpartum showing complete resolution of the spontaneous epidural hematoma.
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A follow-up MRI 6 weeks later showed complete resolution of the spinal epidural hematoma (Figure 3).