Spinal epidural hematoma without significant trauma in children: two case reports and review of the literature.

Details

Serval ID
serval:BIB_448CF73B3F48
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Spinal epidural hematoma without significant trauma in children: two case reports and review of the literature.
Journal
BMC pediatrics
Author(s)
Carlhan-Ledermann A., Laubscher B., Steinlin M., Ulrich C.T., Verma R.K., Rizzi M., Maduri R., Grunt S.
ISSN
1471-2431 (Electronic)
ISSN-L
1471-2431
Publication state
Published
Issued date
19/02/2020
Peer-reviewed
Oui
Volume
20
Number
1
Pages
77
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Spinal epidural hematoma without significant trauma is a rare condition with potentially severe outcome. This case report and systematic review of the literature illustrates the clinical presentation, risk factors, evaluation, treatment and outcomes of spinal epidural hematoma without significant trauma in children.
We report one case of a 7-year-old girl who developed a neck pain after minor cervical sprain. MRI showed a right posterior epidural hematoma extending from C2/3 to T1. The hematoma was surgically evacuated, and the histopathology showed an arteriovenous malformation. Postoperative MRI showed complete evacuation of the hematoma and no residual vascular malformation. We report a second ASE with idiopathic spinal epidural hematoma of a 4½-year-old boy presenting with neck pain. MRI showed a right-sided latero-posterior subacute spinal epidural hematoma at C3-C5. Owing to the absence of any neurological deficit, the patient was treated conservatively. MRI at 3 months showed complete resolution of the hematoma.
Spinal epidural hematoma without significant trauma in children is a rare condition. It may present with unspecific symptoms. Screening for bleeding diathesis is warranted and neuroradiologic follow-up is essential to rule out vascular malformation. Whereas most children have a favorable outcome, some do not recover, and neurological follow-up is required.
Keywords
Spinal epidural hematoma; Hemorrhage; MRI; Paraplegia; Hemophilia; Vascular malformation
Pubmed
Open Access
Yes
Create date
27/02/2020 17:11
Last modification date
16/07/2020 9:43
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