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.
Department of Radiology, University of North Carolina, Chapel Hill, NC, USA.
A U
AU
Kalnins
B
B
Geryk
W
W
Olivero
T A
TA
Kim
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*