Spontaneous epidural and subdural hematomas of the spine: Review of anatomy and imaging findings

Neuroradiol J. 2024 Feb;37(1):23-30. doi: 10.1177/19714009231163553. Epub 2023 Mar 13.

Abstract

Spontaneous epidural (SEH) and subdural hematomas (SSH) of the spine are a rare cause of spinal injury and morbidity. They often present in the emergency setting, though magnetic resonance imaging is the gold-standard for diagnosis. Knowledge of anatomy, and in particular of the dural layers of the spine, is crucial to understand the location of SEH and SSH and their relationship with spinal structure. In this pictorial review, we aim to explain imaging features of the SEH and SSH, and to rule out their main differential diagnosis.

Keywords: emergency radiology; magnetic resonance imaging; pontaneous Epidural hematoma; spine; spontaneous subdural hematoma.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Hematoma, Subdural* / diagnostic imaging
  • Humans
  • Magnetic Resonance Imaging* / methods