Joshi Aparna,  Saleem Sheena

Final Pr. ID: Poster #: EDU-091

Epidural hematomas are typically seen after accidental head trauma in children, though they can also be seen in abusive head trauma. Most often they are arterial but venous hematomas can occur in posterior fossa and vertex locations.

This educational exhibit will review the pathophysiology and common imaging features on CT and MR of intracranial and intraspinal epidural hematomas. Illustrative examples of unusual types of epidural hematomas such as retroclival epidural hematoma and epidural hematoma crossing calvarial sutures will be included. Read More

Authors:  Joshi Aparna , Saleem Sheena

Keywords:  Epidural hematoma

Cielma Tara,  Bandarkar Anjum

Final Pr. ID: Poster #: EDU-006 (R)

Background:
Lumbar puncture (LP) is used during the initial work-up of a febrile infant for diagnosis of central nervous system (CNS) abnormalities such as neoplasm, and infectious processes. In children, the L3-L4 and L4-L5 intervertebral space can be used to access the subarachnoid space. Collection of cerebral spinal fluid (CSF) is then tested for any markers of infection. At times, a lumbar puncture may fail and create a leak of CSF and hematoma within the meningeal space.

Purpose:
Through this case series, we will describe normal sonographic anatomy of the spinal canal and effective techniques to best demonstrate epidural hematoma post lumbar puncture. Retrospective review of ultrasound B-mode and cine loop images was performed with respect to the three cases. Typical imaging features include heterogenously echogenic material within the dorsal and ventral epidural space that may move with real-time patient motion. Additionally, the collection of material may compress the thecal sac, obliterating flow of CSF.
High frequency linear sonography of the spinal canal and epidural space after unsuccessful lumbar puncture in experienced hands can adequately demonstrate anatomic detail of the spine and meningeal spaces and identify the epidural hematoma. Ultrasound allows expedited diagnosis of traumatic epidural hematoma after failed lumbar puncture and facilitates ultrasound-guided CSF collection. Read More

Authors:  Cielma Tara , Bandarkar Anjum

Keywords:  Spine Ultrasound, Epidural Hematoma, Lumbar Puncture