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. 2021 Aug 6;9(22):6501–6509. doi: 10.12998/wjcc.v9.i22.6501

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©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.

This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/

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Imaging examinations of case 3. A: First emergency magnetic resonance imaging (MRI) scan. T1-weighted image of the thoracic spine shows isometric-intensity spinal epidural hematoma at T1–2 (white arrow); B and C: First emergency MRI scans. T2-weighted image shows high signal intensity; axial T2-weighted image shows that the hematoma was in the posterolateral region (white arrow); D: Preoperative MRI suggests an enhanced hematoma signal (orange arrow); E: The hematoma decreased in size after conservative treatment (white arrow); F-H: After 72 h of conservative treatment, MRI showed that the hematoma worsened again (white arrow); I: The hematoma completely disappeared at the 3-mo follow-up (white arrow).