A 21 year-old man suffered from a sudden-onset of posterior neck pain and then he developed paraplegia and anesthesia below T4. a, b On sagittal T1 and T2-weighted images, the hematoma was located on the portion dorsal to the dural sac. It was a spindle-shaped lesion on the cervicothoracic spine (C4-T2). c On the axial T1-weighted image, the hematoma was located on dorsal portion around to dural sac, demonstrating a lentiform-shape, and the dural sac was severely compressed