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Title: Teaching NeuroImages: Spontaneous Spinal Epidural Hematoma with Spot Sign Positivity
Authors: Schutz, Anna ;Rama Asary, Priyal ;O'Brien, Bill ;Crimmins, Denis ;Hanson, Julian 
Issue Date: Jun-2015
Source: Volume 84, Issue 23, pp. 202 -203
Journal title: Neurology
Abstract: An 82-year-old man on warfarin for previous venous thromboembolism presented to the hospital with acute neck pain followed by rapidly progress- ive, asymmetrical incomplete quadriparesis. Cra- niocervical CT angiography (CTA) was performed (figure 1), which revealed a spot sign and hyper- dense material in the cervical spinal canal. MRI confirmed extradural hematoma from C4-T1 (figure 2), and successful surgical management was achieved. The CTA spot sign is a predictor of intracerebral In spinal epidural hematomas, hematoma growth.1 rapid clinical progression has been associated with poorer prognosis.2 data on spot sign positivity in spinal hematomas.
DOI: 10.1212/WNL.0000000000001660
ISSN: 1526-632X
Publicaton type: Journal Article
Keywords: Neuropathology
Appears in Collections:Neurology

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