case_images: PMC8168654_01
case_images: Sagittal (a), axial (b) T1-weighted cervicothoracic spine MRI images and axial brain MRI (c) documented an anterior spinal cervicothoracic and clival epidural hyperintensity and hypointensity in sagittal (d) and axial (e) T2-weighted sequences with maximum spinal compression at Th1-Th2 level and extension to Th6. T1-weighted Gd-enhanced MRI sequences (f) also showed a peripheral epidural and meningeal contrast enhancement.
case_images: SNI-12-181-g001.jpg
case_images: PMC8168654_01_SNI-12-181-g001.jpg
case_images: F1
case_images: Further, T1-weighted Gd-enhanced MRI sequences confirmed peripheral epidural and meningeal contrast enhancement consistent with the diagnosis of a SSEH [Figure 1].
case_images: Sagittal T1-weighted (a) and sagittal T2-weighted (b) cervicothoracic spine MRI with extension to the craniovertebral junction showing an almost total reduction of epidural hematoma.
case_images: SNI-12-181-g002.jpg
case_images: PMC8168654_01_SNI-12-181-g002.jpg
case_images: F2
case_images: Notably, the cervico/thoracic spine MRI repeated 14 days later showed a progressive SSEH reduction; this also correlated with near-complete pain regression [Figure 2].