Female, 25 years old, with history of traumatic brain injury five years ago, cervicothoracic syrinx with increased ICP, presenting with worsening muscle spasms following spinal tap on 7/6. A very extensive T2 hyperintense epidural collection is seen within the spinal canal beginning at the C3 level and continuing caudally to at least the mid lumbar region. The fluid follows CSF signal characteristics and is predominantly located posteriorly. The collection effaces the thecal sac through most of the spine. Apart from crowding due to the epidural collection, the spinal cord itself appears relatively unremarkable. No clear evidence of any focal signal abnormality or syrinx is seen.The spinal alignment is anatomic allowing for some positional straightening of the cervical lordosis. Vertebral body height and morphology are within normal limits. No marrow replacement or marrow edema is detected. The intervertebral discs are preserved with no areas of degenerative spinal canal encroachment or foraminal narrowing.
A very extensive epidural CSF collection is seen beginning at C3 and continuing down to at least the mid lumbar region. This collection effaces the thecal sac and may exert a mild compressive force on the spinal cord. No evidence of any cord edema or focal cord lesion is seen. In particular, no clear evidence of the reported syrinx is demonstrated.These findings were discussed with Dr. Satzer at 10:10 AM on 07/08/16.