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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 26:2406-2409, October 2005
© 2005 American Society of Neuroradiology

Case Report
SPINE

Nonenhancing Spinal Subdural Metastatic Tumor

Zoran Rumboldt^a, Lara Lambert^b, Jasna Talan-Hranilovic^c, Domagoj Marjan^d and Tomislav Sajko^e

^a Department of Radiology, Medical University of South Carolina, Charleston, SC
^b Medical University of South Carolina, Charleston, SC
^c Departments of Pathology
^d Radiology
^e Neurosurgery, University Hospital Sestre Milosrdnice, Zagreb, Croatia (Hrvatska)

Address correspondence to Zoran Rumboldt, MD, Department of Radiology, Medical University of South Carolina, 169 Ashley Avenue, P.O. Box 250322, Charleston, SC 29425

Summary: We describe a case of a spinal subdural metastatic tumor that became rapidly symptomatic after a minor trauma, as a result of severe cord compression and cord hemorrhage. On MR imaging, the lesion was oval, hyperintense with a dark rim on T2-weighted fast spin-echo images, isointense to the cord on T1-weighted images, and had dark and bright areas on gradient-echo T2*-weighted images, consistent with a hyperacute-to-acute hematoma. The hemorrhagic tumor showed no evidence of contrast enhancement.