RESUMEN
PURPOSE: to present a case of post traumatic anterior spinal epidural hematoma. CASE REPORT: a 55-year-old man presented with abrupt onset of paraparesia following a motor vehicle accident. Magnetic resonance imaging showed an anterior lumbar epidural hematoma. Surgical evacuation of the hematoma resulted in complete recovery.
Asunto(s)
Hematoma/diagnóstico , Vértebras Lumbares/lesiones , Imagen por Resonancia Magnética , Compresión de la Médula Espinal/diagnóstico , Traumatismos Vertebrales/diagnóstico , Heridas no Penetrantes/diagnóstico , Diagnóstico Diferencial , Espacio Epidural , Humanos , Vértebras Lumbares/patología , Masculino , Persona de Mediana Edad , Paraplejía/etiología , Médula Espinal/patologíaRESUMEN
PURPOSE: Hydatidosis affects the bone in 0.5 to 2% of cases, with 44% of these cases involving the spine. We report 8 cases of vertebral involvement evaluated by CT and/or MRI. Materials and Methods. This retrospective study from January 1996 to August 2000 included seven patients (5 men and 3 women) aged between 28 and 65 years old. The mean age was 45 years old. Five patients underwent CT scan (one by CT-myelography). MRI was available in 4 cases. RESULTS: Imaging showed multicystic bony lesions. Thoracic involvement was present in 4 cases, lumbar involvement in 2 cases, and sacral involvement in 2 cases. The process involved 2 adjacent vertebrae in 4 cases at the thoracic and lumbar levels and the entire sacrum in the other cases. Only one case of vertebral collapse was noted, but extension into the spinal canal was noted in all cases. Other sites of involvement were also noted, especially in adjacent soft tissues, liver and spleen. CONCLUSION: The presence of multicystic vertebral lesions with involvement of adjacent soft tissues and/or distant organs should raise the possibility of spinal hydatidosis in endemic countries.
