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To identify the hematoma in the spinal cord, MRI with and without gadolinium enhancement is the preferred choice. [9] CT is also used to identify the hemorrhage and provide evidence for pathological analysis. Complete spinal MRI with MR angiography is used when patients with subarachnoid hemorrhage without the intracranial etiology. [20]
Once the spinal injury has occurred, one of two things may happen. Firstly, hemorrhaging within the spinal cord may cause compression, which damages the spinal cord even further. Another consequence of myelomalacia is improper circulation of blood to the area damaged, resulting in further damage to the spinal cord. [citation needed]
The hematoma can exert a mass effect on the brain, increasing intracranial pressure and potentially causing midline shift or deadly brain herniation. In the past this effect held additional diagnostic importance since prior to the invention of modern tomographic soft-tissue imaging utilizing MRI or CT it was not possible to directly image many ...
CT gives greater detail than X-rays, but exposes the patient to more radiation, [91] and it still does not give images of the spinal cord or ligaments; MRI shows body structures in the greatest detail. [10] Thus it is the standard for anyone who has neurological deficits found in SCI or is thought to have an unstable spinal column injury. [92]
When symptomatic, they can cause pain and myelopathy by intra-spinal bleeding, bony expansion or extra-osseous extension into surround soft tissue or the posterior neural elements. [4] [6] [7] [8] Highly vascular (cavernous type) hemangiomas can produce neurologic deficits without prominent evidence of spinal cord compression. The deficits in ...
Spinal cord injury without radiographic abnormality (SCIWORA) is symptoms of a spinal cord injury (SCI) with no evidence of injury to the spinal column on X-rays or CT scan. [4] [5] Symptoms may include numbness, weakness, abnormal reflexes, or loss of bladder or bowel control. [2] Neck or back pain is also common. [3] Symptoms may be brief or ...
Spinal extradural haematoma or spinal epidural hematoma (SEH) is bleeding into the epidural space in the spine. These may arise spontaneously (e.g. during childbirth), or as a rare complication of epidural anaesthesia or of surgery (such as laminectomy ).
Epidural hematoma is when bleeding occurs between the tough outer membrane covering the brain (dura mater) and the skull. [4] When this condition occurs in the spinal canal, it is known as a spinal epidural hematoma. [4] There may be loss of consciousness following a head injury, a brief regaining of consciousness, and then loss of ...