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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 26:1655-1658, August 2005
© 2005 American Society of Neuroradiology

Case Report
SPINE

Transient Traumatic Spinal Venous Hypertensive Myelopathy

Mark A. Auler^a, Radh Al-Okaili^a and Zoran Rumboldt^a

^a From the Department of Radiology, Medical University of South Carolina, Charleston

Address correspondence to Zoran Rumboldt, Department of Radiology, Medical University of South Carolina, 169 Ashley Avenue, Charleston, SC 29425

Summary: We present a case of a reversible spinal venous hypertensive myelopathy that occurred following a traumatic mediastinal hematoma. The mediastinal hematoma caused compression of the brachiocephalic vein, resulting in elevation of the venous pressures that ultimately resulted in dilation of the epidural venous plexus and spinal cord edema. The secondary neurologic deficits were the culmination of venous outflow obstruction at the level of the spinal cord that resolved on the resolution of the mediastinal hematoma.

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