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Tumor or Hematoma? : An Unusual Case of an Extradural Lesion of the Lumbar Spine

Neidert, M. ; Prömmel, P. ; Schuknecht, B. ; Sürücü, O.

In: Clinical Neuroradiology, 2013, vol. 23, no. 4, p. 305-308

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    Titre
    • Tumor or Hematoma?
      An Unusual Case of an Extradural Lesion of the Lumbar Spine
    Auteur
    • Neidert, M.. Department of Neurosurgery, University Hospital Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland
    • Prömmel, P.. Department of Neurosurgery, University Hospital Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland
    • Schuknecht, B.. Medical Radiological Institute Zurich, Bahnhofsplatz 3, 8001, Zurich, Switzerland
    • Sürücü, O.. Department of Neurosurgery, University Hospital Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Clinical Neuroradiology, 2013, vol. 23, no. 4, p. 305-308. Springer Berlin Heidelberg
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:314498
    Summary
    Purpose: Spinal epidural hematoma is a rare clinical entity. We present a case of atypical contrast enhancement pattern in a chronic epidural hematoma of the lumbar spine mimicking an extradural tumor. Case Report: A 76-year-old man on treatment with oral anticoagulants presented with a 1-month history of lower back pain radiating into his right upper thigh accompanied by spinal claudication. Preoperative MRI showed a posterior epidural lesion compressing the cauda equina with almost homogeneous contrast enhancement. Surgery was performed under the presumptive diagnosis of spinal extradural neoplasm. Intraoperative and histological findings were consistent with a chronic spinal epidural hematoma. Postoperatively, the patient had instant relief of his symptoms. Conclusion: Chronic spinal epidural hematoma may resemble an extradural tumor, requiring surgery for histological confirmation and decompression