Case of the Week
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
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April 7, 2008
Spontaneous Epidural Hematoma
- Often of venous origin
- Causes: minor trauma, coagulopathy, vascular anomaly (paraspinal AVM), disk herniations, Paget, Valsalva maneuver, hypertension, pregnancy
- Heterogeneous hyperintensity with peripheral enhancement are typical
- Appearance by MRI does not influence management or predicts outcome but MRI is best method for diagnosis
- Contrast enhancement inside of hematoma may indicate active bleeding
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