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

Détails

Ressource 1Télécharger: 32075604_BIB_448CF73B3F48.pdf (722.62 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_448CF73B3F48
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Spinal epidural hematoma without significant trauma in children: two case reports and review of the literature.
Périodique
BMC pediatrics
Auteur(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
Statut éditorial
Publié
Date de publication
19/02/2020
Peer-reviewed
Oui
Volume
20
Numéro
1
Pages
77
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
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.
Mots-clé
Spinal epidural hematoma; Hemorrhage; MRI; Paraplegia; Hemophilia; Vascular malformation
Pubmed
Open Access
Oui
Création de la notice
27/02/2020 16:11
Dernière modification de la notice
30/04/2021 6:10
Données d'usage