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Large Paraspinal and Iliopsoas Muscle Hematomas

Yasuhiko Baba, MD; Kenneth Hentschel, DO, PhD; William D. Freeman, MD; Daniel F. Broderick, MD; Zbigniew K. Wszolek, MD
Arch Neurol. 2005;62(8):1306. doi:10.1001/archneur.62.8.1306.
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A relapse of chronic inflammatory demyelinating polyradiculopathy was diagnosed in a 57-year-old man on the basis of progressive leg weakness, numbness, and urinary incontinence of approximately 1 week’s duration. He was treated at another hospital with oral prednisolone (60 mg/d). He was also being treated with aspirin (81 mg/d) for atherosclerotic disease. Three days before admission to our hospital, he fell and had a contusion on the left side of his lower back. The diagnosis of chronic inflammatory demyelinating polyradiculopathy was confirmed by electromyography. Intravenous immunoglobulin was administered, and the prednisolone was slowly tapered. During this hospitalization, aspirin therapy was continued. Also, subcutaneous heparin sodium (5000 U) was administered twice daily to prevent deep venous thrombosis.

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Figure.

Magnetic resonance imaging (A) and computed tomography (B) of the psoas and iliopsoas muscles. A, Coronal T2-weighted fast spin-echo fat-saturation lumbar spine magnetic resonance image showing an extensive mass lesion in the left psoas muscle extending from T10 to L4 (arrowhead) and smaller foci in the right psoas muscle (arrow). B, Axial computed tomography of the pelvis with oral contrast materials showing a large hematoma in the left iliopsoas muscle (arrows).

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