Interesting spine case

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history of acute onset back pain 
Pretty similar to disc related epidural hematoma shared with us by Dr Phillip Tirman couple of months back, although not too much of disc disease in this case. 
Interesting 1. Acute denervation edema along L3 distribution (which can be expected).2. Contrast enhancement is little more diffuse than just peripheral.
? Should epidural phlegmon be a consideration in view of the enhancement and  relative absence of  disc disease.There is no history fever.
any other opinion are welcomed.
thanks in advance regards 

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1 thought on “Interesting spine case”

  1. OCAD
    avneesh.chhabra

    No infection

    Para spinal denervation- due to preganglionic nerve involvement

    Best!
    AC

    Avneesh Chhabra, M.D.
    Associate Professor, Radiology & Orthopedic Surgery
    Chief, Musculoskeletal Radiology
    Department of Radiology
    5323 Harry Hines Blvd., Dallas, Texas 75390-9316
    Office: 214-648-2122
    http://www.utsouthwestern.edu/radiology<http://www.utsouthwestern.edu/education/medical-school/departments/radiology/>

    
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    history of acute onset back pain

    Pretty similar to disc related epidural hematoma shared with us by Dr Phillip Tirman couple of months back, although not too much of disc disease in this case.

    Interesting
    1. Acute denervation edema along L3 distribution (which can be expected).
    2. Contrast enhancement is little more diffuse than just peripheral.

    ? Should epidural phlegmon be a consideration in view of the enhancement and relative absence of disc disease.
    There is no history fever.

    any other opinion are welcomed.

    thanks in advance
    regards

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