Spinal epidural lubricant grease collection mimicking traumatic spinal epidural hematoma.
We report an unusual case of a patient with an epidural fluid collection with signal characteristics mimicking an epidural hematoma. The patient presented with myelopathy caused by thoracic spinal cord compression after a traumatic injury to the chest and back. The injury was caused by high-pressure injection of industrial-grade lubricant grease. This case demonstrates that cord compression can be caused by exogenous material in the setting of trauma that can mimic an acute epidural hematoma.
Kalnins
A U
AU
Department of Radiology, University of North Carolina, Chapel Hill, NC, USA.
Geryk
B
B
Olivero
W
W
Kim
T A
TA
D000062:Accidents, Occupational; D000328:Adult; D003937:Diagnosis, Differential; D004824:Epidural Space / Q000473:pathology; D005547:Foreign Bodies / Q000473:pathology*; D046748:Hematoma, Epidural, Spinal / Q000473:pathology*; D006801:Humans; D007219:Industrial Oils; D008279:Magnetic Resonance Imaging; D008297:Male; D013119:Spinal Cord Injuries / Q000473:pathology*