A 46-year-old womanpresented with sudden severe pain in the interscapular region. Physical examination, including detailed neurological evaluation, did not disclose any abnormalities.However, magnetic resonance imaging revealed an epidural hematomaanterior to the thoracic spinal cord and its spontaneous resolution thirty days after onset. Her hospital course was uneventful. To our knowledge, this report documents the first case ofa spontaneous spinal spidural hematomawithout neurological deficits. Spinal epidural hematomamay be more commonthan previously thought because some cases have probably been misdiagnosed as transient back pain of unknown etiology. (Internal Medicine 34: 992-994, 1995)
A multinodular hepatocellular carcinoma (HCC) was treated with seven transarterial interventions via the hepatic artery over a 2-year, 5-month period before the eighth angiography showed a recurrent HCC in the anterior portion of the left hepatic lobe. The left internal mammary artery (IMA) was feeding the tumor. This was successfully treated with Lipiodol-transcatheter arterial embolization using a coaxial system via a branch of the left IMA. No complications resulted from the procedure. The left IMA should be considered as a possible feeding artery to an HCC occurring in the anterior portion of the left hepatic lobe.
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