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Epidural Hematoma

63 y.o. male with severe spinal stenosis and associate myelopathy in both hands and feet. Patient underwent laminectomy from C2-C7. 1 day after initial operation patient with severe numbness to left arm. Then, patient became unable to move either leg within 2 hours after that initial complaint. A Stat non-contrast CT was ordered.

Axial CT demonstrates laminectomy defect at the level shown. A hyperdense fluid collection with some air bubbles  is identified consistent with an epidural hematoma, extending from the C2-3 level to C7-T1 .