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Clinical Imaging of Microwave Mammography

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Published on: November 14, 2025

Clinics in diagnostic imaging (150).

Nor Azam Mahmud¹, Dinesh R Singh¹, Steven B S Wong¹

¹Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Alexandra Health, 90 Yishun Central, Singapore 768828. wilfred.peh@gmail.com.

Singapore Medical Journal

|December 21, 2013

Summary

Spontaneous spinal epidural hematoma is a rare cause of back pain, potentially leading to cauda equina syndrome. This case highlights conservative management and MRI

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Area of Science:

Neurology
Radiology
Neurosurgery

Background:

Spontaneous spinal epidural hematoma (SSEH) is an uncommon condition.
SSEH can present with severe back pain and neurological deficits, sometimes requiring urgent surgical intervention.

Observation:

A 19-year-old male presented with acute lower back pain after heavy lifting, with no history of trauma.
Magnetic resonance (MR) imaging revealed a characteristic hyperintense, biconvex lesion in the posterior epidural space on T1- and T2-weighted sequences.

Findings:

The lesion was diagnosed as a spinal epidural hematoma.
Conservative management led to gradual pain resolution and complete hematoma resolution on follow-up MR imaging.
No neurological deficits were observed during the patient's course.

Implications:

This case underscores the potential for conservative management in select SSEH cases.
Accurate MR imaging is crucial for diagnosing SSEH.
Early recognition and appropriate management can lead to favorable outcomes, avoiding surgery.