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Child's Nervous System
Published in: Child's Nervous System 5/2006

01-05-2006 | Case Report

Spontaneous spinal epidural hematoma in a toddler—a case report

Authors: S. Balaji Pai, P. P. Maiya

Published in: Child's Nervous System | Issue 5/2006

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Abstract

Objects

Spontaneous spinal epidural hematoma (SSEDH) is rare in children below the age of 2 years. It can produce rapidly progressive neurological deficits.

Methods

The authors report a case of SSEDH in a 15-month-old boy diagnosed by MRI. Suspension laminotomy and evacuation of the clot were done 48 h after the onset of symptoms. The patient made excellent neurological recovery. Computed tomography (CT) and MRI scanning carried out 6 months after surgery revealed good fusion of the laminotomy. A brief review of relevant literature is presented.

Conclusion

Although rare SSEDH requires immediate surgical decompression to avoid any permanent neurological deficit. Reconstructive surgical procedures like laminotomy are preferred in children where the incidence of spinal deformity is high following laminectomy.
Literature
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Beatty RM, Winston KR (1984) Spontaneous cervical epidural hematoma—a consideration of etiology. J Neurosurg 61:143–148PubMedCrossRef
2.
Caldarelli M, Di Rocco C, La Marca F (1994) Spontaneous spinal epidural hematoma in toddlers: description of two cases and review of the literature. Surg Neurol 41:325–329PubMedCrossRef
3.
Evelyn ML, Judith M, Post D, Falcone S (1999) MRI of acute spinal epidural hematomas. J Comput Assist Tomogr 23(2):238–243CrossRef
4.
Lovblad KO, Baumgartner RW, Zambaz BD, Remonda L, Ozdoba C, Schroth G (1997) Non traumatic spinal epidural hematomas: MR features. Acta Radiol 38:8–135PubMed
5.
Pai SB, Krishna KN, Chandrashekar S (2002) Post lumbar puncture spinal subarachnoid hematoma causing paraplegia. Neurol India 50(3):367–369PubMed
6.
Tewari MK, Tripathi LN, Mathuriya SN, Khandelwal N, Kak VK (1992) Spontaneous spinal extadural hematoma in children. Report of three cases and a review of the literature. Child’s Nerv Syst 8:53–55CrossRef
Metadata
Title
Spontaneous spinal epidural hematoma in a toddler—a case report
Authors
S. Balaji Pai
P. P. Maiya
Publication date
01-05-2006
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 5/2006
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-005-0002-6

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