Department of Neuroradiology, "Umberto I" Hospital, ASL Salerno, Italy.
Department of Advanced Biomedical Sciences, University of Naples "Federico II", Naples, Italy.
Neuroradiol J. 2024 Feb;37(1):23-30. doi: 10.1177/19714009231163553. Epub 2023 Mar 13.
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.
自发性硬脊膜外(SEH)和硬脊膜下血肿(SSH)是脊柱损伤和发病率的罕见原因。它们通常出现在急诊环境中,尽管磁共振成像(MRI)是诊断的金标准。了解解剖结构,特别是脊柱的硬脑膜层,对于理解 SEH 和 SSH 的位置及其与脊柱结构的关系至关重要。在本影像学综述中,我们旨在解释 SEH 和 SSH 的影像学特征,并排除其主要鉴别诊断。