Spinal Spot Sign.

Hauf, Martinus; Krestel, Heinz Eric; Cavelti, Ariane; Pirwitz Biedermann, Anja-Simone; Schroth, Gerhard; Mattle, Heinrich (2015). Spinal Spot Sign. The neurologist, 20(6), pp. 104-105. Lippincott Williams & Wilkins 10.1097/NRL.0000000000000062

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INTRODUCTION A marker predictive of hematoma expansion in the central nervous system could aid the selection of patients for hemostatic or surgical treatment. CASE REPORT Here, we present a 83-year-old patient with acute spinal subdural hematoma with paraparesis progressing to paraplegia. A contrast extravasation within the intraspinal hematoma was visualized on spinal MR indicating active bleeding (spinal spot sign). A second acquisition of contrast-enhanced MR images showed progression of contrast extravasation helping to different active bleeding from spinal arteriovenous malformations/fistula. CONCLUSIONS A "spinal spot sign" may be important for treatment decisions, notably in patients with incomplete neurological deficits at the time of imaging.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology

UniBE Contributor:

Hauf, Martinus; Krestel, Heinz Eric; Cavelti, Ariane; Pirwitz Biedermann, Anja-Simone; Schroth, Gerhard and Mattle, Heinrich

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2331-2637

Publisher:

Lippincott Williams & Wilkins

Language:

English

Submitter:

Martin Zbinden

Date Deposited:

13 Jan 2016 17:12

Last Modified:

01 Jan 2017 02:30

Publisher DOI:

10.1097/NRL.0000000000000062

PubMed ID:

26671742

BORIS DOI:

10.7892/boris.74581

URI:

https://boris.unibe.ch/id/eprint/74581

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