Hosting 728 files, 2951 images, and 4 contributors.

Random Case

Joseph Junewick, MD FACR
over 8 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Acute L3 Spondylolysis with Venous Epidural

Case Detail

Anatomy: Brain-Spine
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 9 years ago
Updated: over 9 years ago
Tags: PEDS
Modality/Study Types: MR NM
Adobe32 PDF Imagej32 ImageJA


Teenage male athlete with back pain.

Case Images


Acute L3 Spondylolysis with Venous Epidural

Clinical Notes

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


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).


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.


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.

Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare