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Acute neck pain and quadriparesis An 82 year old man with acute neck pain Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy.

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Presentation on theme: "Acute neck pain and quadriparesis An 82 year old man with acute neck pain Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy."— Presentation transcript:

1 Acute neck pain and quadriparesis An 82 year old man with acute neck pain Teaching NeuroImages Neurology Resident and Fellow Section © 2014 American Academy of Neurology

2 Vingette 82 year old man Presents with acute neck pain Rapidly progressive, asymmetrical incomplete quadriparesis On warfarin for previous venous thromboembolism Schutz et al. © 2014 American Academy of Neurology

3 Imaging Schutz et al. © 2014 American Academy of Neurology

4 Imaging Schutz et al. © 2014 American Academy of Neurology

5 Spontaneous Spinal Epidural Haematoma with Spot Sign Positivity The CTA spot sign is a predictor of intracerebral haematoma growth 1. In spinal epidural haematomas, rapid clinical progression has been associated with poorer prognosis 2. However, there are no published data on spot sign positivity in spinal haematomas. Schutz et al. © 2014 American Academy of Neurology

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