Abstract Archives of the RSNA, 2014
NRE368
Spinal Subdural and Epidural Hematomas: Etiologies, Imaging Techniques, Characteristics and Pitfalls
Education Exhibits
Presented in 2014
Haatal B. Dave MD, MS, Presenter: Nothing to Disclose
Claire Kaufman, Abstract Co-Author: Nothing to Disclose
David Durand MD, Abstract Co-Author: Nothing to Disclose
Vivek Bihari Kalra MD, Abstract Co-Author: Nothing to Disclose
Ajay Malhotra MD, Abstract Co-Author: Nothing to Disclose
1. Spinal subdural and epidural hematomas are rare neurologic emergencies which can result from several different etiologies and have devastating neurologic sequelae.
2. Common etiologies for both subdural and epidural spinal hemorrhage include trauma, lumbar puncture, spinal surgery and spinal anesthesia.
Anatomy:
• Pia, Arachnoid, Dura
• Epidural & subdural spaces
• Epidural venous plexus and fat
MRI:
• Aging of blood products- hyperacute, acute, early and late subacute, chronic
• Use of gradient echo with hyperacute hemorrhage
Spinal Subdural Hemorrhage:
• Pathophysiology
• Presentation
• Etiologies with MR example of each: trauma, lumbar puncture, spinal anesthesia, spine surgery, bleeding diathesis, anticoagulation therapy, vascular malformations, non-accidental trauma, posterior fossa decompressive surgeries
• MR imaging techniques and features
• MR pitfalls
• Complications
Spinal Epidural Hemorrhage:
• Pathophysiology
• Etiologies with MR example of each: spontaneous, trauma, spinal anesthesia, spine or brain surgery
• Presentation
• MR imaging techniques and features
• MR pitfalls
• Complications
http://abstract.rsna.org/uploads/2014/14019489/14019489_7nfx.pdf
Dave, H,
Kaufman, C,
Durand, D,
Kalra, V,
Malhotra, A,
Spinal Subdural and Epidural Hematomas: Etiologies, Imaging Techniques, Characteristics and Pitfalls. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14019489.html