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Chiari III
Joseph Junewick, MD FACR
over 7 years ago
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Acute L3 Spondylolysis with Venous Epidural

Case Detail

Anatomy: Brain-Spine
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 6 years ago
Updated: over 6 years ago
Tags: PEDS
Modality/Study Types: MR NM
Activities:
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History

Teenage male athlete with back pain.


Case Images


Diagnosis

Acute L3 Spondylolysis with Venous Epidural

Clinical Notes

MR 2 months later showed near complete resolution of the extraaxial collection.

Findings

MR – Mixed signal extra-axial collection with minimal peripheral enhancement and compression of the thecal sac.

NM – Coronal SPECT shows bilateral pars defects (also seen on MR).

Discussion

Spinal epidural hematoma may be the result of coagulopathy, trauma, vascular lesion, iatrogenic process or spontaneous event. In this case, disruption of the lumbar venous plexus may have occurred from either vertebral motion or acute trauma associated with spondylolysis.

Reference

Negata K, Ariyoshi M, Ishibashi K, et al. Chronic lumbar epidural hematoma in a patient who had spondylolysis at the third lumber vertebra. Report of a rare case involving a 17 year old adolescent. J Bone Joint Surg Am (1998); 80:1515-1520.



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